Feto-Feto-Fetal Triplet Transfusion Syndrome (FFFTTS)

Abstract

We report a case of feto-feto-fetal-transfusion-syndrome (FFFTS) in a spontaneous monochorionic triamniotic triplet pregnancy primarily diagnosed at 17 weeks of gestation. During the course of pregnancy, sequentially two triplets appeared as donor. Symptoms of a recipient (polyhydramnios, tricuspid valve insufficiency, and ascites) were present in the third triplet. The second of the donor twins died in utero at 25 weeks. At 27 weeks, a cesarean section was performed mainly due to pre-eclampsia. The first donor triplet developed normally, whereas the recipient showed periventricular leucomalacia and neurogical impairment.

Key Words:

• Feto-fetal transfusion syndrome
• triplets
• chorionicity
• neonatal outcome
• intrauterine digitalization