morphine and Hemoperitoneum

Topics: Cesarean Section; Combined Modality Therapy; Embolism, Amniotic Fluid; Enterobacteriaceae Infections; Epilepsy, Generalized; Female; Hemoperitoneum; Hemostasis, Surgical; Humans; Hysterectomy; Meconium; Morganella morganii; Multiple Organ Failure; Postoperative Complications; Postoperative Hemorrhage; Postpartum Hemorrhage; Pregnancy; Shock; Shock, Septic; Splenectomy; Young Adult

A case of twin-to-twin transfusion syndrome with intrauterine death of one twin and meconium peritonitis and intravascular disseminated coagulation in the other twin is reported. Meconium peritonitis follows to bowel perforation, caused by segmental severe hypoplasia of muscular layer. The Authors suggest that this structural alteration of bowel wall could be an expression of inequal distribution of some cells between the two twins, during embrional development.

Topics: Adult; Colon; Colonic Diseases; Diseases in Twins; Disseminated Intravascular Coagulation; Fatal Outcome; Female; Fetal Death; Fetal Diseases; Fetofetal Transfusion; Hemoperitoneum; Humans; Ileal Diseases; Ileum; Immunoenzyme Techniques; Infant, Newborn; Intestinal Perforation; Meconium; Muscle, Smooth; Peritonitis; Polyhydramnios; Postoperative Complications; Pregnancy; Twins, Monozygotic