The Turkish Journal of Pediatrics 2021 , Vol 63 , Num 5
Ileal atresia and severe cerebral injury after fetoscopic laser photocoagulation treatment for twin-to-twin transfusion syndrome
Ayşe Anık 1 ,Abdullah Barış Akcan 1 ,İrem Çulcuoğlu 2 ,Ali Onur Erdem 3 ,Sezen Karaca Özkısacık 3 ,Münevver Kaynak Türkmen 1
1 Departments of Neonatology, Aydın Adnan Menderes University Faculty of Medicine, Aydın, Turkey
2 Departments of Pediatrics,Aydın Adnan Menderes University Faculty of Medicine, Aydın, Turkey
3 Departments of Pediatric Surgery, Aydın Adnan Menderes University Faculty of Medicine, Aydın, Turkey
DOI : 10.24953/turkjped.2021.05.023 Background. Twin-to-twin transfusion syndrome (TTTS) is a significant cause of perinatal morbidity and mortality. Fetoscopic laser photocoagulation (FLP) is the optimal treatment option for twin-to-twin transfusion syndrome; but can cause central nervous system, extremity and intestinal system injury.

Case. We report the case report of ileal atresia and severe cerebral infarction co-occurrence after fetoscopic laser photocoagulation treatment. It is uncertain as to whether ileal atresia occurred due to ischemia associated with TTTS, the treatment with FLP, or a combination of both.

Conclusions. Cases with prenatal ultrasonographic abnormalities after FLP should have a close assessment to detect bowel complications. Despite many developments in its management, TTTS remains an important risk factor for cerebral injury. Keywords : twin-to-twin transfusion syndrome, fetoscopic laser photocoagulation, ileal atresia, cerebral injury

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