Case of the week # 506
Hayat Aalalou, MD ; Fouzia El Hilali, MD ; Nisrine Mamouni, MD ; Sanaa Errarhay, MD ; Chahrazed Bouchikhi, MD ; Abdelaziz Banani, MD.
Obstetrics and Gynecology I - HASSAN II University Hospital – Fez- Morocco
Case report
A 20-year-old (G2P1), with unremarkable history was sent to our unit at 19 weeks of pregnancy. Our ultrasound examination revealed a monochorionic diamniotic twin pregnancy with one fetus dead and signs of twin-twin transfusion syndrome (oligohydramnios of the dead twin and polyhydramnios of the survivor).
A follow-up scan at 29 weeks and post-natal X-ray revealed the following findings:
Images 1, 2, 3.

Image 4.

When you have tried to solve the case on your own (no team work here please !) you can find the Answer
here.