win anemia polycythemia sequence in dichorionic diamniotic twin pregnancy. Report of A Case

Authors

DOI:

https://doi.org/10.47464/MetroCiencia/vol33/4/2025/61-68

Keywords:

anemia polycytemia, TAPS sequence, twin pregnancy, dichorionic, monochorionic

Abstract

Twin anemia polycythemia sequence in dichorionic diamniotic twin pregnancy is uncommon; however, cases have been described due to the presence of placental arteriovenous anastomoses that form vascular connections and lead to chronic blood exchange between both twins, thus resulting in a polycythemia anemia syndrome. form vascular connections. The diagnosis of this entity can be complex; therefore, ultrasound monitoring and evaluation of pregnancy are imperative to prevent the development of this type of complications. The sequelae can be devastating, generating a significant impact on perinatal morbidity and mortality. Treatment options vary according to different factors such as gestational age, severity, and availability of resources.

The diagnosis of this entity can be complex; therefore, ultrasound monitoring and evaluation of pregnancy are imperative to prevent the development of this type of complications. The sequelae can be devastating, generating a significant impact on perinatal morbidity and mortality. Treatment options vary according to different factors such as gestational age, severity, and availability of resources.

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Author Biographies

  • VAVanessa Michelle García Gudiño, Universidad Internacional del Ecuador

    Posgradista de Ginecología y Obstetricia de la Universidad Internacional del Ecuador; Quito, Ecuador

  • María Darnely Samaniego Balseca, Universidad Internacional del Ecuador

    Posgradista de Ginecología y Obstetricia de la Universidad Internacional del Ecuador; Quito, Ecuador

  • Byron Iván Argoti Echeverría, Hospital Metropolitano

    Especialista en Ginecología y Obstetricia médico tratante Hospital Metropolitano; Quito, Ecuador

  • Melissa Abigail Hidalgo Valencia, Universidad Internacional del Ecuador

    Posgradista de Ginecología y Obstetricia de la Universidad Internacional del Ecuador; Quito, Ecuador

  • Alejandra Elizabeth Calero Tipantuña, Universidad Internacional del Ecuador

    Posgradista de Ginecología y Obstetricia de la Universidad Internacional del Ecuador; Quito, Ecuador

  • Doménica Isabel Campoverde Verdugo, Universidad Internacional del Ecuador

    Posgradista de Ginecología y Obstetricia de la Universidad Internacional del Ecuador; Quito, Ecuador

References

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Khalil A, Gordijn S, Ganzevoort W, Thilaganathan B, Johnson A, Baschat AA, et al. Consensus diagnostic criteria and monitoring of twin anemia–polycythemia sequence: Delphi procedure. Ultrasound in Obstetrics and Gynecology. 2020 Sep 1;56(3):388–94.

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Kanagaretnam D, Nayyar R, Zen M. Twin anemia polycythemia sequence in dichorionic diamniotic twins: A case report and review of the literature. Clin Case Rep. 2021 May 1;9(5).

Tollenaar LSA, Slaghekke F, Middeldorp JM, Klumper FJ, Haak MC, Oepkes D, et al. Twin Anemia Polycythemia Sequence: Current Views on Pathogenesis, Diagnostic Criteria, Perinatal Management, and Outcome. Vol. 19, Twin Research and Human Genetics. Cambridge University Press; 2016. p. 222–33.

Foschini MP, Gabrielli L, Dorji T, Kos M, Lazzarotto T, Lanari M, et al. Vascular anastomoses in dichorionic diamniotic-fused placentas. International Journal of Gynecological Pathology. 2003 Oct;22(4):359–61.

Published

2025-12-24

Issue

Section

Casos Clínicos

How to Cite

win anemia polycythemia sequence in dichorionic diamniotic twin pregnancy. Report of A Case. (2025). Metro Ciencia, 33(4), 61-68. https://doi.org/10.47464/MetroCiencia/vol33/4/2025/61-68

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