Sindrome de Ballantyne

Abstract

Ballantyne syndrome (triple edema syndrome or mirror syndrome) is characterized by maternal edema, placental edema and fetal hydrops, associated to hypertensive syndrome as a variant of preeclampsia. We report a case of prenatal diagnosis of Ballantyne syndrome. A patient diagnosed with anemia, edema and abdominal pain was hospitalized at 26 weeks of gestation. Serial obstetric ultrasound tomography imaging showed placental edema, severe oligohydroamnios, fetal hydrops, abnormal fetal umbilical Doppler measurements, and ultrasonographic signs of anemia. The patient developed hypertensive disorders of pregnancy, a cesarean section was performed and an 840 g male infant was born, Apgar 2-8, with sepsis and fetal anemia, who died two days after cesarean delivery. A literature review of Ballantyne Síndrome, its physiopathology and diagnosis is performed.

El síndrome de Ballantyne (o de triple edema o síndrome en espejo), se caracteriza por edema materno, edema placentario e hidrops fetal, asociado unsíndrome hipertensivo variante de la preeclampsia. Se presenta un caso clínico de diagnóstico prenatal de síndrome de Ballantyne. A las 26 semanas de gestación se hospitaliza paciente con diagnóstico de anemia, edema y dolor abdominal. Las ecotomografias obstétricas seriadas demuestran edema placentario, oligohidroamnios severo, hidrops fetal, alteración del Doppler umbilical fetal, y signos ultrasonográficos de anemia. La paciente evoluciona con sindrome hipertensivo del embarazo, se realiza cesárea y se obtiene un recién nacido de 840 g, sexo masculino, Apgar 2-8, con sepsis y anemia fetal que fallece al segundo día. Se realiza una revisión de la literatura, de la fisiopatología y diagnóstico del síndrome de Ballantyne.