D-dimer levels as a predicting factor for DIC following single twin death: a case report and review of the literature.
| Title | D-dimer levels as a predicting factor for DIC following single twin death: a case report and review of the literature. |
| Publication Type | Journal Article |
| Year of Publication | 2010 |
| Authors | Daniilidis, A., Sardeli C., Tantanasis T., Dinas K., Mavromichali M., & Tzafettas J. |
| Journal | Clin Exp Obstet Gynecol |
| Volume | 37 |
| Issue | 1 |
| Pagination | 67-8 |
| Date Published | 2010 |
| ISSN | 0390-6663 |
| Keywords | Adult, Disseminated Intravascular Coagulation, Female, Fetal Death, Fibrin Fibrinogen Degradation Products, Humans, Pregnancy, Twins |
| Abstract | BACKGROUND: Intrauterine death of one twin in the second or third trimester occurs in about 1% of all twin pregnancies. The retention in utero of the dead fetus may be associated with maternal disseminated intravascular coagulation.CASE: We present the case of a diamniotic monochorionic pregnancy with intrauterine death of the first twin at 24 weeks. The pregnancy reached 33 weeks. In our case although all coagulation factors were within normal limits, D-dimer levels were significantly high, without any evidence though of any clotting problems to the mother.CONCLUSION: The role of D-dimers is practically unknown in multiple pregnancies. It seems that the interpretation of elevated D-dimer levels is still of limited value for prediction or prognosis of thromboembolic complications of multiple pregnancies. |
| Alternate Journal | Clin Exp Obstet Gynecol |
| PubMed ID | 20420288 |
