Case Report

Fetal Growth Restriction and Anemia in Both Fetuses of Monochorionic Diamniotic Twins with Suspected Chronic Abruption-Oligohydramnios Sequence: A Case Report

Abstract

We present a case of a primigravida woman at 30 weeks of gestation with monochorionic diamniotic (MCDA) twins, both affected by fetal growth restriction (FGR) and fetal anemia. One twin demonstrated absent end-diastolic flow on umbilical artery Doppler. Both twins had oligohydramnios. The placenta was enlarged (~110
mm in thickness) and showed gross clots at delivery, consistent with chronic placental abruption. Amniotic fluid was blood-stained during the cesarean section performed due to recurrent late decelerations. Placental pathology was normal except for mild vascular abnormalities. TORCH and antiphospholipid syndrome (APS) screenings were negative. This case highlights the diagnostic complexity of FGR and fetal anemia in both fetuses of MCDA twins and supports the chronic abruption-oligohydramnios sequence as the underlying cause.

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IssueVol 10 No 4 (2025): July-August QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v10i4.21105
Keywords
Chronic abruption-oligohydramnios sequence Monochorionic diamniotic twins Fetal growth restriction (FGR) Fetal anemia
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How to Cite
1.
Golshahi F, Saedi N, Sahebdel B, Shamel Jahromi S, Moeini R, Amini S. Fetal Growth Restriction and Anemia in Both Fetuses of Monochorionic Diamniotic Twins with Suspected Chronic Abruption-Oligohydramnios Sequence: A Case Report. CRCP. 2026;10(4):142-146.