IMR Press / CEOG / Volume 44 / Issue 6 / DOI: 10.12891/ceog3789.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Fetal magnetic resonance imaging (MRI) analysis of seven cases of obstetric mirror syndrome (OMS)
H.X. Zhang1, †X.F. You2, 3, †X. Wei1M.H. Sun1, *
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1 Department of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China
2 Department of Imaging, Shihezi People’s Hospital, Shihezi, China
3 Department of Imaging, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
† Co-first authors.
Clin. Exp. Obstet. Gynecol. 2017, 44(6), 892–898; https://doi.org/10.12891/ceog3789.2017
Published: 10 December 2017
Abstract

Objective: The aim of this study was to analyze the fetal magnetic resonance imaging (MRI) findings of seven cases of obstetric mirror syndrome (OMS). Materials and Methods: The fetal MRI results of seven cases of clinically/pathologically confirmed OMS were retrospectively analyzed, including fetal hydrops, placental edema, association with related malformations, etc. Results: The seven OMS fetuses all displayed multi-site edema and two cases were associated with placental edema. Other associated malformations included fetal sacrococcygeal teratoma (SCT, 1/7), Rh-defect (D) caused immune hemolysis (1/7), fetal growth restriction (FGR, 2/7), twin-twin transfusion syndrome (TTTS, 2/7), and placenta chorioangioma (1/7). OMS can increase maternal and fetal morbidity and mortality, so early diagnosis of this disease could have important significance in providing the appropriate treatment protocol and improving the clinical outcomes. Conclusions: Fetal MRI was an important supplementary means of obstetric ultrasound, which could qualify fetal hydrops-associated malformations, characterize the nature of the tumor, and assess the situations of the heart and lung development of fetal edema simultaneously.
Keywords
Obstetric mirror syndrome
Edema
Fetus
MRI
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