When the mirror's image deceives: A case review

Abstract

Introduction : Since the 19th century when Ballantyne first described the association of fetal hydrops, placental edema and maternal systemic manifestations, mirror syndrome has implied a lot of controversy about delivery recommendations due to associated fetal and maternal risks. Case: In our article we describe a case of nonimmune hydrops fetalis whereupon delivery of the fetus the maternal clinical status was stable and completely recovered from her condition. Discussion: Mirror syndrome and preeclampsia seem to be reflected by a similar fan of signs and symptoms, with a thin line of differences and consequences, leading to confusion affecting treatment and management decisions. Conclusion: Unaddressed, mirror syndrome can lead to significant maternal and fetal complications, yet conservative management can be attempted to reverse the condition, unlike preeclampsia; therefore, thorough evaluation and individualization of each case should be done.