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We report a case of fetal distress at 31\u2009weeks of gestation in the larger surviving twin after fetoscopic laser surgery for selective intrauterine growth restriction, necessitating emergent cesarean section. Physical examination of the infant showed constriction rings caused by a disrupted amniotic membrane on the digits, and the distal part of the right index finger was necrotic because of tight strangulation by an amniotic band with the umbilical cord of the deceased smaller twin. Laboratory data showed severe coagulopathy, and the infant was diagnosed with disseminated intravascular coagulation (DIC). Immediate treatment improved his condition. DIC may have been associated with the necrotic finger, which was strangulated by the umbilical cord of the deceased fetus, because neither maternal coagulopathy nor an underlying neonatal disorder was detected.<\/jats:p>","DOI":"10.1111\/jog.15281","type":"journal-article","created":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T03:42:52Z","timestamp":1653536572000},"page":"1989-1996","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Disseminated intravascular coagulation complicated by amniotic band syndrome associated with deceased fetal umbilical cord following fetoscopic laser surgery"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9410-1782","authenticated-orcid":false,"given":"Manabu","family":"Ogoyama","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Jichi Medical University  Shimotsuke Tochigi 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