Case Report: Twin - Twin Transfusion Syndrome Stage 3

This case report details a rare instance of Twin -Twin Transfusion Syndrome TTTS at Stage 3 in a 31 -year -old woman with a monochorionic diamniotic MCDA twin pregnancy at 26 weeks gestation. Despite a history of two uneventful full -term pregnancies, the patient presented with abdominal pain and was subsequently admitted for evaluation. The diagnosis of TTTS was confirmed through an obstetric scan showing significant discordance between the donor and recipient twins in terms of amniotic fluid volume and fetal growth. Management included induction of labor, resulting in the birth of both twins with notable weight discrepancy. This report underscores the critical importance of early detection and the challenges of managing TTTS, particularly in the context of its high perinatal mortality rate and the specific interventions required for different stages of the syndrome.