[A sample of mirror syndrome in association with some disorders: case report]

 Mirror syndrome is a rare disorder in which fetal hydrops is associated with maternal edema, proteinuria and hypertension. Its pathogenesis is unclear and it is frequently mistaken for preeclampsia, even though distinguishing features can be identified and placentomegaly is consistently observed. It is associated with an increase in fetal mortality and maternal morbidity.

 we report an uncommon case of mirror syndrome, which appeared in 22 weeks and 4 days in multi parous pregnant women that characterized by complaints of headache, swollen limbs and hemorrhoids. And According to ultrasound, hydrops fetalis was confirmed and the decision was made to terminate the pregnancy. Our report is an interesting example of an unusual form of Mirror syndrome for several reasons which ultimately leads to hysterectomy. First due to mirror syndrome in a patient suffering from hemorrhoids and lack of hypertension. Then Due to the association of mirror syndrome with uncontrollable bleeding, following medical treatment to terminate the pregnancy and finally curettage and hysterectomy. and then concurrent multiple ovarian cysts in the right ovary with a size of 10 cm and left ovarian edema and presence of ascites, serosis uterine, and bladder, uterine and ovarian edema at the time of hysterectomy.

 mirror syndrome is associated with an increase in perinatal mortality and maternal morbidity. SO in order to improve midwifery management in cases of mirror syndrome, reduce fetal mortality and maternal morbidity and recognize concurrent unknown disorders, we must carefully examine all the symptoms of the mother and take treatment as soon as possible and, if necessary, consider delivery.