To editor:Monochorionicity was traditionally considered indicative of monozygosity.However,recent years have witnessed the emergence of several noteworthy instances of monochorionic dizygotic(MCDZ)twins in clinical pr...To editor:Monochorionicity was traditionally considered indicative of monozygosity.However,recent years have witnessed the emergence of several noteworthy instances of monochorionic dizygotic(MCDZ)twins in clinical practice.In 2000,Viëtor et al.1 documented the initial established case of MCDZ twins.Subsequent studies have further documented this unconventional twinning phenomenon.2,3 The recognized complications associated with monochorionic monozygotic pregnancies,including twin-twin transfusion syndrome(TTTS),twin anemia–polycythemia sequence(TAPS),selective intrauterine growth restriction(sIUGR),congenital malformations,and intrauterine fetal death,could also manifest in MCDZ pregnancies.4,5 In this correspondence,we presented an extremely rare case of TTTS in a dizygotic monochorionic diamniotic twin gestation successfully treated with fetoscopic laser photocoagulation.The patients’permission to publish was obtained.展开更多
基金Six Talent Peaks Project in Jiangsu Province(WSN-141)Nanjing Youth Medical Innovation Personnel Training Project(QRX17014).
文摘To editor:Monochorionicity was traditionally considered indicative of monozygosity.However,recent years have witnessed the emergence of several noteworthy instances of monochorionic dizygotic(MCDZ)twins in clinical practice.In 2000,Viëtor et al.1 documented the initial established case of MCDZ twins.Subsequent studies have further documented this unconventional twinning phenomenon.2,3 The recognized complications associated with monochorionic monozygotic pregnancies,including twin-twin transfusion syndrome(TTTS),twin anemia–polycythemia sequence(TAPS),selective intrauterine growth restriction(sIUGR),congenital malformations,and intrauterine fetal death,could also manifest in MCDZ pregnancies.4,5 In this correspondence,we presented an extremely rare case of TTTS in a dizygotic monochorionic diamniotic twin gestation successfully treated with fetoscopic laser photocoagulation.The patients’permission to publish was obtained.