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Fetal Hydrops in a Twin Pregnancy

Melanie McClain, Scott O Guthrie

A monozygotic twin diagnosed in utero with fetal hydrops of unknown etiology was severely dysmorphic and had no heart sounds upon delivery. The presentation and autopsy results led to suspicion of an acardiac twin. The complications present in the surviving twin may have been prevented with earlier diagnosis and increased awareness among healthcare providers.

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