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Open AccessCase Report

Discordance for Potter’s Syndrome in a Dichorionic Diamniotic Twin Pregnancy—An Unusual Case Report

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Department of Gynecology, Medical University Varna, 9000 Varna, Bulgaria
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Department of General and Clinical pathology, Forensic Medicine and Deontology, Medical University Varna, 9002 Varna, Bulgaria
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Department of Plastic Restorative, Reconstructive and Aesthetic Surgery, Medical University Pleven, 5800 Pleven, Bulgaria
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Department of Gynecologic Oncology, Medical University Pleven, 5800 Pleven, Bulgaria
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(3), 109; https://doi.org/10.3390/medicina56030109
Received: 15 December 2019 / Revised: 29 January 2020 / Accepted: 24 February 2020 / Published: 4 March 2020
(This article belongs to the Section Obstetrics and Gynecology)
Introduction: Potter’s syndrome, also known as Potter’s sequence, is an uncommon and fatal disorder. Potter’s sequence in a multiple pregnancy is uncommon, and its frequency remains unknown. Worldwide in a diamniotic twin pregnancy, there are only a few cases described. Case report: We present an unusual case discordance for Potter’s syndrome in a dichorionic diamniotic twin pregnancy. Twin A had the typical physical and histological Potter’s findings. Twin B had normal respiratory function and normal physical examination findings. There are many controversies about this condition in diamniotic twin pregnancy. One case report concluded that that the presence of a normal co-twin in diamniotic pregnancy prevented the cutaneous features seen in Potter’s syndrome and ameliorated the pulmonary complications, whereas two other case studies reported that the affected twin had extrarenal features typical of the syndrome. Conclusion: We performed an autopsy and calculated lung weight/body weight ratio to diagnose pulmonary hypoplasia. Histopathologic examination of lungs and kidneys was performed. We concluded that the appearance of extrarenal features in the affected twin depends on the amniocity. View Full-Text
Keywords: potter’s sequence; dichorionic; oligohydramnios; extrarenal features; pulmonary hypoplasia potter’s sequence; dichorionic; oligohydramnios; extrarenal features; pulmonary hypoplasia
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Kostov, S.; Slavchev, S.; Dzhenkov, D.; Strashilov, S.; Yordanov, A. Discordance for Potter’s Syndrome in a Dichorionic Diamniotic Twin Pregnancy—An Unusual Case Report. Medicina 2020, 56, 109.

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