Volume 8, Issue 4 (5-2023)                   SJNMP 2023, 8(4): 88-94 | Back to browse issues page

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Javaheri A, Eftekhari shah abad F, Jafari S Z, Hajifoghaha M. [A sample of mirror syndrome in association with some disorders: case report]. SJNMP 2023; 8 (4) :88-94
URL: http://sjnmp.muk.ac.ir/article-1-548-en.html
1- Department of Obstetrics and Gynecology, Shahid Sadoughi University of Medical Sciences and Health Services
2- Department of Midwifery, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran , Eftekhary.fatane@gmail.com
3- Department of Midwifery, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
4- Shiraz University of Medical Sciences
Abstract:   (331 Views)
Background & aim: Mirror syndrome is a rare disorder in which fetal hydrops is associated with maternal edema, proteinuria and hypertension. Its pathogenesis is unclear and it is frequently mistaken for preeclampsia, even though distinguishing features can be identified and placentomegaly is consistently observed. It is associated with an increase in fetal mortality and maternal morbidity.
Case Presentation: we report an uncommon case of mirror syndrome, which appeared in 22 weeks and 4 days in multi parous pregnant women that characterized by complaints of headache, swollen limbs and hemorrhoids. And According to ultrasound, hydrops fetalis was confirmed and the decision was made to terminate the pregnancy. Our report is an interesting example of an unusual form of Mirror syndrome for several reasons which ultimately leads to hysterectomy. First due to mirror syndrome in a patient suffering from hemorrhoids and lack of hypertension. Then Due to the association of mirror syndrome with uncontrollable bleeding, following medical treatment to terminate the pregnancy and finally curettage and hysterectomy. and then concurrent multiple ovarian cysts in the right ovary with a size of 10 cm and left ovarian edema and presence of ascites, serosis uterine, and bladder, uterine and ovarian edema at the time of hysterectomy.
Conclusion: mirror syndrome is associated with an increase in perinatal mortality and maternal morbidity. SO in order to improve midwifery management in cases of mirror syndrome, reduce fetal mortality and maternal morbidity and recognize concurrent unknown disorders, we must carefully examine all the symptoms of the mother and take treatment as soon as possible and, if necessary, consider delivery.
Full-Text [PDF 389 kb]   (147 Downloads)    
Type of Study: case report | Subject: Special
Received: 2023/05/29 | Revised: 2023/07/4 | Accepted: 2023/05/31 | Published: 2023/05/31 | ePublished: 2023/05/31

1. Bedei I.A, et al. Is Fetal Hydrops in Turner Syndrome a Risk Factor for the Development of Maternal Mirror Syndrome? Journal of Clinical Medicine. 2022; 11(15): 4588. [DOI:10.3390/jcm11154588]
2. Braun T, et al. Mirror syndrome: a systematic review of fetal associated conditions, maternal presentation and perinatal outcome. Fetal diagnosis and therapy. 2010; 27(4):191-203. [DOI:10.1159/000305096]
3. Hirata G, et al. Clinical characteristics of mirror syndrome: a comparison of 10 cases of mirror syndrome with non-mirror syndrome fetal hydrops cases. The Journal of Maternal-Fetal & Neonatal Medicine. 2016; 29(16): 2630-34. [DOI:10.3109/14767058.2015.1095880]
4. Heinonen S, M Ryynänen, and P Kirkinen. Etiology and outcome of second trimester non-immunologic fetal hydrops. Acta obstetricia et gynecologica Scandinavica. 2000;79(1): 15-18. [DOI:10.1034/j.1600-0412.2000.079001015.x]
5. Mathias C.R and C Rizvi. The diagnostic conundrum of maternal mirror syndrome progressing to pre-eclampsia-A case report. Case Reports in Women's Health. 2019; 23(1):e00122. [DOI:10.1016/j.crwh.2019.e00122]
6. Norton ME, et al. Society for maternal-fetal medicine (SMFM) clinical guideline# 7: nonimmune hydrops fetalis. American journal of obstetrics and gynecology. 2015; 212(2):127-39. [DOI:10.1016/j.ajog.2014.12.018]
7. Han Z, et al. Clinical characteristics and risk factors of mirror syndrome: a retrospective case-control study. BMC pregnancy and childbirth. 2021; 21(1):1-6. [DOI:10.1186/s12884-021-04143-3]
8. Allarakia, S., et al., Characteristics and management of mirror syndrome: a systematic review (1956-2016). Journal of Perinatal Medicine. 2017; 45(9):1013-21. [DOI:10.1515/jpm-2016-0422]
9. Van Selm M, H Kanhai and Gravenhorst J.B. Maternal hydrops syndrome: a review. Obstetrical & Gynecological Survey. 1991; 46(12):785-88. [DOI:10.1097/00006254-199112000-00001]
10. Carbillon L, et al. Clinical biological features of Ballantyne syndrome and the role of placental hydrops. Obstetrical & gynecological survey. 1997; 52(5):310-14. [DOI:10.1097/00006254-199705000-00023]
11. Giacobbe A, et al. An unusual form of mirror syndrome: a case report. The journal of maternal-fetal & neonatal medicine. 2013; 26(3):313-15. [DOI:10.3109/14767058.2012.722734]
12. Jones T and S.R Miesnik. Mirror Syndrome: A Rare, Potentially Life‐Threatening Obstetric Complication. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2015; 44(s1):S85-S85. [DOI:10.1111/1552-6909.12594]
13. Heale PA. Mirror Syndrome: A Reflection of Fetal Health. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2015; 44(s1):S83-S83. [DOI:10.1111/1552-6909.12591]
14. Zhao Yang, et al. Mirror syndrome in a Chinese hospital: diverse causes and maternal fetal features. The Journal of Maternal-Fetal & Neonatal Medicine. 2013; 26(3): 254-58. [DOI:10.3109/14767058.2012.733765]

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