Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2022; 10(28): 10214-10219
Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10214
Twin reversed arterial perfusion sequence-a rare and dangerous complication form of monochorionic twins: A case report
Nguyen Duy Anh, Nguyen-Thi Thu Ha, Nguyen-Thi Sim, Nguyen Khac Toan, Phan-Thi Huyen Thuong, Nguyen Minh Duc
Nguyen Duy Anh, Nguyen-Thi Sim, Fetal Medicine Center, Hanoi Obstetrics and Gynecology Hospital, Hanoi 100000, Vietnam
Nguyen-Thi Thu Ha, Department of Assisted Reproduction, Hanoi Obstetrics and Gynecology Hospital, Hanoi 100000, Vietnam
Nguyen Khac Toan, Phan-Thi Huyen Thuong, Department of Obstetrics and Gynecology, Hanoi University of Medicine and Pharmacy, Hanoi 100000, Vietnam
Nguyen Minh Duc, Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City 700000, Vietnam
Author contributions: Anh ND and Thu Ha NT contributed equally to this article; Anh ND and Thu Ha NT contributed to the case file retrieval and case summary preparation; Thuong PHT and Duc NM contributed to the preparation of manuscript and editing; All authors read and approved the final manuscript.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nguyen Minh Duc, MD, Department of Radiology, Pham Ngoc Thach University of Medicine, 2 Duong Quang Trung Ward 12 District 10, Ho Chi Minh City 700000, Vietnam. bsnguyenminhduc@pnt.edu.vn
Received: April 21, 2022
Peer-review started: April 21, 2022
First decision: May 30, 2022
Revised: June 9, 2022
Accepted: August 23, 2022
Article in press: August 23, 2022
Published online: October 6, 2022
Processing time: 158 Days and 20.9 Hours
Core Tip

Core Tip: It is an easy mistake to misdiagnose twin reversed arterial perfusion as a single intrauterine fetal death, especially in our case, as the acardiac twin has a head, body, and full limbs. Intrauterine fetal intervention is necessary when the pump twin shows signs of fetal distress. After surgery, the problem of premature rupture of membranes and delivery should be noted. The indication to terminate the pregnancy depends on the mother’s condition, fetal condition, and the acardiac twin’s longest size.