# Cord Entanglement in Monochorionic Diamniotic Twin Pregnancy: A Rare Diagnostic and Clinical Challenge

## TL;DR

This paper discusses a rare case of umbilical cord entanglement in a monochorionic diamniotic twin pregnancy, leading to fetal loss.

## Contribution

The novelty lies in documenting a rare occurrence of cord entanglement in an MCDA pregnancy with an intact intertwin membrane.

## Key findings

- Cord entanglement with true knots was identified postpartum despite an intact intertwin membrane.
- The case resulted in intrauterine fetal demise of both twins at 33 weeks gestation.
- Vigilant sonographic monitoring is emphasized to prevent adverse outcomes in high-risk MCDA pregnancies.

## Abstract

Umbilical cord entanglement is a well-known complication in monochorionic monoamniotic twin pregnancies but is extremely rare in monochorionic diamniotic (MCDA) pregnancies due to the presence of an intertwin membrane. We report a case of a 24-year-old G4P1-0-2-1 at 33 weeks and two days of gestation presenting with intrauterine fetal demise of both twins in an MCDA pregnancy. Clinical evaluation and ultrasonography confirmed the demise, and postpartum examination revealed cord entanglement with true knots despite an intact intertwin membrane. This case highlights the importance of vigilant sonographic surveillance of the intertwin membrane and umbilical cords in high-risk MCDA pregnancies to prevent adverse outcomes.