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

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.