Thoracopagus conjoined twins
Authors:
Michaela Ostatníková; Z. Chválna; M. Gábor
; Jozef Záhumenský
Authors‘ workplace:
II. gynekologicko-pôrodnícka klinika LF UK a UN Bratislava, Slovenská republika
Published in:
Ceska Gynekol 2023; 88(3): 186-189
Category:
Case Report
doi:
https://doi.org/10.48095/cccg2023186
Overview
Objective: We present a case report of conjoined twins. Case report: Secundigravida nullipara, 28-years old, admitted for profuse bleeding at 13 weeks of gestation. Ultrasound confirmed vital pregnancy of conjoined twins – thoracopagus. After prenatal diagnostic consultation the patient decided for termination of pregnancy. Molecular analysis confirmed a female fetus without any chromosomal anomalies. Conclusion: The occurrancce of conjoined twins is very rare. Early prenatal ultrasound diagnosis plays an important role. Presented case report describes conjoined twins with poor prognosis because of one shared malformed heart.
Keywords:
conjoined twins – monochorionic twins – thoracopagus
Sources
1. Arulkumaran S, Ledger W, Denny L et al (eds). Oxford textbook of obstetrics and gynaecology. New York: Oxford University Press 2019.
2. Sinha A, Saxena R, Pathak M et al. Conjoined thoracopagus twins – our experience of successful separation. J Indian Assoc Pediatr Surg 2021; 26 (5): 354–357. doi: 10.4103/jiaps.JIAPS_175_20.
3. Kahveci B. Antenatal diagnosis of thoracopagus conjoined twins with single heart and liver: a case report. J Obstet Gynaecol 2020; 40 (6): 869–871. doi: 10.1080/01443615.2019.1650259.
4. Krajíčková M, Špůrková Z. Cephalothoraco- omphalopagus – a rare type of conjoined twins from the pathologists perspective. Ceska Gynekol 2022; 87 (4): 274–277. doi: 10.48095/cccg2022274.
5. Mian A, Gabra NI, Sharma T et al. Conjoined twins: from conception to separation, a review. Clin Anat 2017; 30 (3): 385–396. doi: 10.1002/ ca.22839.
6. Spencer R. Theoretical and analytical embryology of conjoined twins: part II: adjustments to union. Clin Anat 2000; 13 (2): 97–120. doi: 10.1002/ (SICI) 1098-2353 (2000) 13: 2<97:: AID-CA5>3.0.CO; 2- l
7. Mehollin-Ray AR. Prenatal and postnatal radiologic evaluation of conjoined twins. Semin Perinatol 2018; 42 (6): 369–380. doi: 10.1053/ j.semperi.2018.07.015.
8. Tannuri AC, Batatinha JA, Velhote MC et al. Conjoined twins: twenty years’ experience at a reference center in Brazil. Clinics (Sao Paulo) 2013; 68 (3): 371–377. doi: 10.6061/clinics/2013 (03) oa14.
9. Spencer R. Conjoined twins: theoretical embryologic basis. Teratology 1992; 45 (6): 591–602. doi: 10.1002/tera.1420450604.
10. Liang XW, Cai YY, Yang YZ et al. Early ultrasound diagnosis of conjoined twins at eight weeks of pregnancy: a case report. World J Clin Cases 2020; 8 (21): 5389–5393. doi: 10.12998/ wjcc.v8.i21.5389.
11. Savulescu J, Persson I. Conjoined twins: philosophical problems and ethical challenges. J Med Philos 2016; 41 (1): 41–55. doi: 10.1093/ jmp/jhv037.
12. Mackenzie TC, Crombleholme TM, Johnson MP et al. The natural history of prenatally diagnosed conjoined twins. J Pediatr Surg 2002; 37 (3): 303–309. doi: 10.1053/jpsu.2002.30830.
13. de Lourdes Brizot M, Liao AW, Lopes LM et al. Conjoined twins: prenatal diagnosis, delivery and postnatal outcome. Rev Bras Ginecol Obstet 2011; 33 (5): 211–218.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2023 Issue 3
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