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Gul A, Aslan H, Cebeci A, et al. Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for congenital cystic adenomatoid malformation of the lung. Reprod Health. 2005;2(1):2doi: 10.1186/1742-4755-2-2.
Gul, A., Aslan, H., Cebeci, A., Ceylan, Y., & Tekirdag, A. I. (2005). Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for congenital cystic adenomatoid malformation of the lung. Reproductive health, 2(1), 2. https://doi.org/10.1186/1742-4755-2-2
Gul, Ahmet, et al. "Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for congenital cystic adenomatoid malformation of the lung." Reproductive health vol. 2,1 (2005): 2. doi: https://doi.org/10.1186/1742-4755-2-2
Gul A, Aslan H, Cebeci A, Ceylan Y, Tekirdag AI. Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for congenital cystic adenomatoid malformation of the lung. Reprod Health. 2005 Apr 08;2(1):2. doi: 10.1186/1742-4755-2-2. PMID: 15819977; PMCID: PMC1082912.
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Reprod Health. 2005 Apr 08;2(1):2. doi: 10.1186/1742-4755-2-2.

Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for congenital cystic adenomatoid malformation of the lung.

Reproductive health

Ahmet Gul, Halil Aslan, Altan Cebeci, Yavuz Ceylan, Ali Ismet Tekirdag

Affiliations

  1. Maternal and Fetal Unit, Istanbul Bakirkoy Women and Children Hospital, Istanbul, Turkey. [email protected].

PMID: 15819977 PMCID: PMC1082912 DOI: 10.1186/1742-4755-2-2

Abstract

BACKGROUND: Spontaneous monochorionic triamniotic pregnancy is rare and is at increased risk for pregnancy complications. The presence of an anomalous fetus further complicates the management. CASE PRESENTATION: We present a case of monochorionic triamniotic triplet pregnancy diagnosed at 15 weeks of gestation with one fetus having developed a multicystic lung lesion, suggestive of congenital cystic adenomatoid malformation (CCAM). At 24 weeks, the largest cyst measured 10 mm in diameter. We managed the pregnancy conservatively and delivered three live male fetuses with birth weights 1560 g, 1580 g and 1590 g at 35 weeks of gestation. Two newborns were admitted to the neonatal intensive care unit with respiratory distress, the third one died due to sepsis 7 days postpartum. One of the newborns was discharged healthy at 24 days postpartum. The newborn with CCAM developed a pneumothorax on the right side, recovered after treatment, and was discharged after one month. Computerized tomography (CT) of the infant at 3 months demonstrated two cystic lesions in the middle lobe of the right lung measuring 25 mm and 15 mm. A repeat CT of the infant at 6 months showed a 30 mm solitary cystic mass. CONCLUSION: Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for CCAM, present rarely and can be managed conservatively. These findings may help in decision making and counselling of parents.

References

  1. Gynecol Obstet Invest. 2004;57(3):177-80 - PubMed
  2. Fetal Diagn Ther. 2001 May-Jun;16(3):178-86 - PubMed
  3. Am J Obstet Gynecol. 1998 Oct;179(4):884-9 - PubMed
  4. Am J Obstet Gynecol. 2002 Oct;187(4):950-4 - PubMed
  5. Obstet Gynecol. 1996 Nov;88(5):855-8 - PubMed
  6. Obstet Gynecol. 2002 Sep;100(3):561-6 - PubMed
  7. BMC Pregnancy Childbirth. 2003 Aug 8;3(1):4 - PubMed

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