A 25-year-old gravida 3 para 2 woman gives birth at term to twins. Twin A weighs 2290 gm and twin B weighs 2910 gm. Twin A is pale while twin B exhibits plethora with hydrops fetalis.
Which of the following is the most likely cause for these findings?
A Diamnionic-dichorionic placenta
B Congenital infection
C Erythroblastosis fetalis
D Twin-twin transfusion syndrome
E Placental hemangioma
Answer / Explanation:
A twin-twin transfusion syndrome is characterized by twins of discordant size. A monochorionic placenta can have vascular anastomoses.