ArticleClinical case reports2026
Twin-To-Twin Transfusion Syndrome in Dichorionic-Triamniotic Triplets Successfully Managed Without Fetoscopic Laser: A Management-Focused Case Report.
Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Triplet pregnancies are rare (~0.1% of births) and often complicated by prematurity. When one placental unit is monochorionic, there is a risk of twin-to-twin transfusion syndrome (TTTS), a severe vascular imbalance affecting monochorionic gestations. We report a 29-year-old primigravida with a dichorionic-triamniotic triplet pregnancy complicated by Quintero stage II TTTS affecting the monochorionic twin pair. The patient was managed with close surveillance, serial amnioreductions, and antenatal corticosteroids. At 32 + 6 weeks' gestation, three male infants were delivered by cesarean section with favorable neonatal outcomes following neonatal intensive care. This case demonstrates that, in selected late-gestation triplet pregnancies complicated by TTTS, conservative management with amnioreduction and planned preterm delivery may be a reasonable alternative when fetoscopic laser therapy is not feasible.
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