An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin

Obstetrics & Gynecology Science
Minji KimJong-Hwa Kim

Abstract

The latency in preterm premature rupture of membranes (PPROM) can last for weeks. We describe an extremely rare case of hand prolapse with PPROM that was exposed for 23 days before delivery. The patient had spontaneous PPROM of twin A at 21.4 weeks of gestation with shoulder presentation. The right arm of the fetus eventually protruded out the vagina and the hand was exposed for extended period of time of 23 days until delivery. Daily dressing by applying collagen to dry skin and silicone to keep moisture was done to the protruding hand to prevent dehydration and desquamation of the skin. Prophylactic antibiotics were used and the patient underwent emergent cesarean section due to uncontrolled preterm labor at 25.2 weeks. To the best of our knowledge, this is the first case of hand prolapse of one twin with extended period of latency before delivery.

References

May 1, 1993·American Journal of Obstetrics and Gynecology·B M MercerB M Sibai
Dec 20, 2005·Seminars in Perinatology·George M Graham, Sreedhar Gaddipati
Jun 6, 2007·American Journal of Obstetrics and Gynecology·David F LewisCharles Stedman
Dec 12, 2012·American Journal of Obstetrics and Gynecology·Jean Ricci GoodmanDavid R Deschamps
Jul 11, 2013·BMJ Case Reports·D C M Van der KaayJ J Duvekot
Sep 24, 2016·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics

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BETA
cesarean section

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