Conjoined twins in a triplet pregnancy: early prenatal diagnosis with three-dimensional ultrasound and review of the literature

2003 ◽  
Vol 22 (2) ◽  
pp. 199-204 ◽  
Author(s):  
W. Sepulveda ◽  
H. Munoz ◽  
J. L. Alcalde
Keyword(s):  
Prenatal Diagnosis ◽  
Three Dimensional ◽  
Conjoined Twins ◽  
Review Of The Literature ◽  
Triplet Pregnancy

scholarly journals Thoracopagus conjoined twin - a case report

1970 ◽  
Vol 10 (4) ◽  
pp. 289-292
Author(s):  
F Sharmin ◽  
F Begum ◽  
T Parveen ◽  
SF Khatun ◽  
W Fatima
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Caesarean Section ◽  
Early Diagnosis ◽  
Conjoined Twins ◽  
Separation Procedure ◽  
Review Of The Literature ◽  
Surgical Separation

A patient at her 38+ wks of pregnancy as a ultrasonographically diagnosed case of conjoined twin admitted in our department with ruptured membrane. Two live female babies joined at the chest were delivered by caesarean section. The parents refused a separation operation and the mother and the babies were discharged from hospital at 6th post natal day. A review of the literature suggests that early diagnosis by a combination of ultrasound and MRI is essential for management as it provides prognosis for viability and process of surgical separation and also the opportunity for early counseling of parents and termination if indicated. Key world: Conjoined twins; thoracopagus; prenatal diagnosis; separation procedure DOI: http://dx.doi.org/10.3329/bjms.v10i4.9504 BJMS 2011; 10 (4): 289-292

scholarly journals 3D/4D Volumetry in the Second and Third Trimester of Pregnancy

2009 ◽  
Vol 3 (2) ◽  
pp. 18-24
Keyword(s):  
Prenatal Diagnosis ◽  
Potential Benefit ◽  
Three Dimensional ◽  
Review Of The Literature ◽  
Third Trimester ◽  
Technical Aspects ◽  
Volume Calculations ◽  
Fetal Malformations ◽  
2D Ultrasound ◽  
Technological Improvements

ABSTRACT Purpose of the review The technological improvements have greatly progressed on three-dimensional ultrasonography. This review summarizes these technical changes and the latest advances of their use in prenatal diagnosis. Material and methods Review of the literature. Results The new technical aspects of the volumetry, improvement of different render modes, the postprocessing modalities, and innovations on volume calculations are extensively described, as well as detailed, organ based diagnosis of different malformations in the second and third trimester are summarized. Conclusion Though the traditional 2D ultrasound with high resolution provides a great diagnostic tool in detection of fetal malformations, there is no doubt that the 3D/4D technique offers a new power in prenatal diagnosis. Three-dimensional ultrasound can assist in the diagnosis of different, rare malformations because it offers a potential benefit of understanding spatial relationships of normal and abnormal fetal anatomy.

scholarly journals Prenatal diagnosis of parasitic conjoined twins with three-dimensional ultrasound

2013 ◽  
Vol 53 (3) ◽  
pp. 131-133 ◽  
Author(s):  
Miyuki Terata ◽  
Akihiko Kikuchi ◽  
Tomonobu Kanasugi ◽  
Rie Oyama ◽  
Akimune Fukushima ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Three Dimensional ◽  
Conjoined Twins

Three-dimensional ultrasound for prenatal assessment of conjoined twins: additional advantages?

2017 ◽  
Vol 45 (6) ◽  
Author(s):  
Tuangsit Wataganara ◽  
Pornpimol Ruangvutilert ◽  
Prasert Sunsaneevithayakul ◽  
Kusol Russameecharoen ◽  
Katika Nawapun ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Case Reports ◽  
Color Doppler ◽  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
Monozygotic Twins ◽  
Conjoined Twins ◽  
Additional Information ◽  
Perinatal Management ◽  
Magnetic Resonance Imaging Mri

AbstractConjoined twins are a rare, but serious, complication of monozygotic twins. Early prenatal diagnosis of conjoined twins is increasingly made with transvaginal ultrasound and color Doppler studies. Most prenatally diagnosed conjoined twins are terminated due to the high perinatal mortality, but advancement in pediatric surgery has allowed for successful postnatal separation in a small number of cases, and some parents may consider this option over termination of pregnancy. It is important to get a detailed prenatal ultrasound for the site and extent of fusion for an accurate categorization. Three-dimensional ultrasound (3DUS) provides images that can facilitate counselling for the parents. Additional information that impacts on diagnosis, prognostication, and perinatal management of conjoined twins could be obtained from selective use of 3DUS, particularly those with atypical fetal union. Most of the proposed additional benefits of 3DUS are based on case reports. Magnetic resonance imaging (MRI) has been increasingly used for the purpose of identifying intricate organ sharing. Because of the rarity of this condition, and the heterogeneity of fetal fusion, added benefits of either 3DUS or MRI for prenatal diagnosis and perinatal management of conjoined twins have not been demonstrated by well-conducted clinical trials. This article aims to review clinical application of various 3DUS display modes in prenatal assessment of conjoined twins, focusing on their potential additional benefits, risks and misuses. 3DUS may help detecting additional findings that are not possible with 2DUS, but, it has not been scientifically shown to improve the survival rate of the twins or reduce maternal morbidity.

scholarly journals Prenatal Diagnosis of Isolated Agnathia-Otocephaly: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Kazuhiro Kajiwara ◽  
Tomohiro Tanemoto ◽  
Chie Nagata ◽  
Aikou Okamoto
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Cesarean Section ◽  
Poor Prognosis ◽  
Three Dimensional ◽  
Review Of The Literature ◽  
Premature Rupture ◽  
Emergency Cesarean ◽  
Postnatal Treatment

Agnathia is a rare disease characterized by the absence of a mandible. Few cases of prenatally diagnosed isolated agnathia have been reported. We present a case report and review of the literature of prenatally diagnosed agnathia. A 38-year-old woman (gravida 0, para 0) was referred to our hospital at 28 weeks and 3 days of gestation for fetal evaluation because of polyhydramnios and suspected facial anomalies. Three-dimensional ultrasonography and MRI indicated agnathia. Premature rupture of the membranes occurred before the parents could reach a decision on the postnatal treatment. We performed emergency cesarean section on the second day of the 33rd week of gestation. The neonate was deemed nonresuscitable and he died of airway obstruction shortly after birth. Because agnathia is associated with very poor prognosis, accurate prenatal diagnosis and detailed counseling should be promptly provided before unexpected delivery to the parents for the determination of postnatal treatment.

scholarly journals HDlive and Three-Dimensional Imaging in Prenatal Diagnosis of Sirenomelia in the First Trimester: A Case Report and Brief Review of the Literature

2015 ◽  
Vol 9 (2) ◽  
pp. 193-196
Author(s):  
Francisco Raga ◽  
Oscar Caballero ◽  
Francisco Bonilla ◽  
Fernando Bonilla-Musoles ◽  
Juan Carlos Castillo
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
3D Imaging ◽  
Obstet Gynecol ◽  
New Technologies ◽  
Three Dimensional ◽  
First Trimester ◽  
Review Of The Literature ◽  
Three Dimensional Imaging ◽  
Realistic Images

ABSTRACT Herein a case of sirenomelia diagnosed in week 12 by using HDlive and three-dimensional (3D) imaging. These new technologies allowed for an early diagnosis and also depicting realistic images. How to cite this article Bonilla-Musoles F, Caballero O, Castillo JC, Bonilla F Jr, Raga F. HDlive and Three-Dimensional Imaging in Prenatal Diagnosis of Sirenomelia in the First Trimester: A Case Report and Brief Review of the Literature. Donald School J Ultrasound Obstet Gynecol 2015;9(2):193-196.

Conjoined twins in a monozygotic triplet pregnancy: Prenatal diagnosis and X-inactivation

Teratology ◽  
2002 ◽  
Vol 66 (6) ◽  
pp. 278-281 ◽  
Author(s):  
She Min Zeng ◽  
Jerome Yankowitz ◽  
Jeffrey C. Murray
Keyword(s):  
Prenatal Diagnosis ◽  
Conjoined Twins ◽  
X Inactivation ◽  
Triplet Pregnancy
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