Stuck Twin Syndrome

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Stuck Twin Syndrome (typically seen in TTTS Stage I or II)
Figer-1

📄 Report Sample Line- Stuck Twin Syndrome
The a monochorionic diamniotic twin pregnancy. There is a significant amniotic fluid discordance between the two gestational sacs:The donor twin is noted to be severely growth-restricted, with deepest vertical pocket (DVP) <2 cm, and is positioned immobile and closely opposed to the uterine wall. The bladder of the donor twin remains visible, suggesting preserved but reduced urine output. The recipient twin demonstrates polyhydramnios with DVP >8 cm, a distended bladder, and normal to increased fetal growth parameters.No abnormal Doppler velocimetry is noted at this stage. These findings are consistent with the “Stuck Twin” appearance, a hallmark of early-stage Twin-to-Twin Transfusion Syndrome (TTTS).


Conclussion: 📋 Findings are indicative of Stuck Twin Syndrome, suggestive of Quintero Stage I Twin-to-Twin Transfusion Syndrome. The donor twin exhibits features of oligohydramnios and restricted mobility, while the recipient twin shows signs of polyhydramnios.
Recommendation: Consider fetoscopic​.

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Note: Select English to answer in English, या हिंदी चुनें तो प्रश्नों के उत्तर हिंदी में दीजिए।

1. What is "stuck twin" syndrome in twin pregnancies? 1. ट्विन गर्भधारण में "स्टक ट्विन" सिंड्रोम क्या है?
A. A donor twin in severe TTTS that is compressed against the uterine wall due to oligohydramnios
B. A twin with conjoined anatomy
C. Both twins stuck together by cord entanglement
D. A twin with placenta previa

2. Stuck twin syndrome is most commonly seen in association with: 2. स्टक ट्विन सिंड्रोम सबसे अधिक किसके साथ जुड़ा होता है?
A. Twin-to-twin transfusion syndrome (TTTS) with severe oligohydramnios in the donor sac
B. Dichorionic twins with polyhydramnios only
C. Ectopic pregnancy
D. Placental abruption

3. Ultrasound appearance of a 'stuck twin' typically includes: 3. 'स्टक ट्विन' का अल्ट्रासाउंड रूप अक्सर किसे दर्शाता है?
A. Compression of the donor fetus against the uterine wall with minimal or absent amniotic fluid around it
B. Large free-floating donor twin with polyhydramnios
C. Always two placentas on opposite sides
D. Multiple fetal anomalies

4. Immediate sonographic intervention that can temporarily relieve a stuck twin's condition is: 4. तुरंत सोनोग्राफिक हस्तक्षेप जो अस्थायी रूप से एक स्टक ट्विन की स्थिति को कम कर सकता है वह क्या है?
A. Amnioreduction of the recipient sac (drainage of excess amniotic fluid)
B. Immediate cesarean delivery in all cases
C. Maternal antibiotics
D. External cephalic version

5. Definitive therapy to treat the underlying cause of stuck twin in TTTS is: 5. TTTS में स्टक ट्विन के मूल कारण का इलाज करने के लिए निर्णायक उपचार क्या है?
A. Fetoscopic laser photocoagulation of placental vascular anastomoses
B. Intravenous fluids for the mother only
C. Immediate postpartum hysterectomy
D. No treatment exists

6. Which Doppler finding may be seen in the donor (stuck) twin? 6. डोनर (स्टक) ट्विन में कौन सा डॉपलर निष्कर्ष देखा जा सकता है?
A. Abnormal umbilical artery flow or absent/reversed end-diastolic flow indicating fetal compromise
B. Normal MCA-PSV indicating polycythemia
C. Maternal uterine artery waveform only
D. No Doppler changes are possible

7. Which statement about prognosis is true for a stuck twin if timely treatment is given? 7. यदि समय पर उपचार किया जाए तो स्टक ट्विन के लिए कौन सा भविष्यफल सत्य है?
A. Survival and neurological outcome may improve with timely laser therapy or appropriate intervention
B. Outcome is uniformly fatal regardless of treatment
C. Always results in congenital infection
D. No effect of any intervention on outcome

8. Which management may be chosen if fetoscopic laser is not available and TTTS is severe? 8. यदि फेटोस्कोपिक लेज़र उपलब्ध नहीं है और TTTS गंभीर है तो कौन सा प्रबंधन विकल्प चुना जा सकता है?
A. Therapeutic amnioreduction as a temporising measure
B. Immediate induction of labor at any gestation
C. High-dose maternal steroids only
D. No monitoring is required

9. Which twins are at risk of stuck twin syndrome? 9. किस प्रकार के ट्विन्स स्टक ट्विन सिंड्रोम के जोखिम में हैं?
A. Monochorionic diamniotic twins with TTTS (donor twin becomes stuck)
B. Dichorionic twins only
C. Monoamniotic twins only
D. Triplets only

10. Key ultrasound sign that differentiates a stuck twin from normal donor twin is: 10. एक स्टक ट्विन को सामान्य डोनर ट्विन से अलग करने वाला प्रमुख अल्ट्रासाउंड संकेत क्या है?
A. Oligohydramnios in donor sac with fetus abutting uterine/placental surface
B. Polyhydramnios around donor twin
C. Two well-separated sacs with normal liquor each
D. Increased fetal movements in donor sac