1. ¹Department of Pediatrics, University of Kentucky Medical Center, Lexington, KY, USA
2. ²Department of Obstetrics and Gynecology, University of Kentucky, Lexington, KY, USA
3. ³Division of Pediatric General, Thoracic, and Fetal Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA

Correspondence: Dr HO Ballard, Department of Pediatrics, University of Kentucky Medical Center, MS 467, 800 Rose Street, Lexington, KY 40536-0298, USA. E-mail: hoball2@uky.edu

Received 20 May 2008; Revised 26 August 2008; Accepted 29 September 2008.

Abstract

Necrotic injury of an extremity in a donor twin is a rare complication of twin–twin transfusion syndrome after selective fetoscopic laser photocoagulation. We present the case of a 20-year-old gravida 2, para 1 with a twin gestation with severe twin–twin transfusion syndrome (Quintero Stage 3B) who had treatment with selective fetoscopic laser photocoagulation. Selective fetoscopic laser photocoagulation may be associated with extremity necrosis in a donor twin.