Unique case of successful twin pregnancy after spontaneous conception in a patient with uterus bicornis unicollis

An asymptomatic, normotensive 36-year-old woman in the second trimester of a twin-gestation was diagnosed with a 11 cm adrenal pheochromocytoma. Considering the hemodynamic stability of the patient, tumor size, and gestational age, the therapeutic decision of a multidisciplinary team ensued open surgical excision without any preoperative antihypertensive preparation. Following successful removal of pheochromocytoma, the patient had a normal subsequent course of pregnancy and cesarean section delivery of healthy twins at term. This unique case of a normotensive, incidental, large-sized pheochromocytoma in a twin-pregnancy illustrates that the decisions of management in such a rare occurrence should be based on individual features of the patient. Our experience supports that α-adrenergic blockade may not be essential in normotensive pheochromocytoma in pregnancy and open-surgery remains as a safe approach in the management of large adrenal tumors in twin-pregnant patients following a multidisciplinary consultation.

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An Unusual Case of Twin Pregnancy associated with Rudimentary Horn Rupture

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1474 ◽

2017 ◽

Vol 9 (2) ◽

pp. 129-130

Author(s):

Armeen Ahmed ◽

Anuja Nanda ◽

Vineeta Gupta ◽

Archna Tandon

Keyword(s):

South Asian ◽

Twin Pregnancy ◽

Unusual Case ◽

Intrauterine Pregnancy ◽

Rudimentary Horn ◽

Spontaneous Conception

ABSTRACT Twin pregnancy in association with rudimentary horn pregnancy is extremely rare and more so in spontaneous conceptions. Rudimentary horn pregnancy coexistent with an intrauterine pregnancy usually results in rupture of the rudimentary horn and death of the correspondent twin. We report an unusual case of twin pregnancy following spontaneous conception in association with rudimentary horn rupture. How to cite this article Gupta V, Nanda A, Tandon A, Ahmed A. An Unusual Case of Twin Pregnancy associated with Rudimentary Horn Rupture. J South Asian Feder Obst Gynae 2017;9(2):123-124.

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Interstitial twin pregnancy: A unique case presentation

Journal of Clinical Ultrasound ◽

10.1002/jcu.22209 ◽

2014 ◽

Vol 43 (7) ◽

pp. 447-450 ◽

Cited By ~ 1

Author(s):

Diana Garretto ◽

Lan Na Lee ◽

Nancy E. Budorick ◽

Reinaldo Figueroa

Keyword(s):

Twin Pregnancy ◽

Unique Case ◽

Case Presentation

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Successful Delivery of Twin Pregnancy in Class U3b/C2/V1 Uterus by Bilateral Caesarean Section after Spontaneous Conception

Case Reports in Obstetrics and Gynecology ◽

10.1155/2015/743621 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Yasmine El-Masry ◽

Ahmed M. E. Ossman ◽

Mohammed El-Namoury ◽

Sameh Sarsik

Keyword(s):

Caesarean Section ◽

Cesarean Delivery ◽

Twin Pregnancy ◽

Mode Of Delivery ◽

Full Term ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Vaginal Septum ◽

Spontaneous Conception ◽

History Of

A case of a 19-year-old female with class U3b/C2/V1 uterus conceived a twin pregnancy with a fetus in each horn after spontaneous conception. She referred to our department with presentation of premature rupture of membranes, with a history of cesarean delivery of a single full term living fetus a year and a half before this delivery. Examination revealed two completely separate uterine horns with a fetus in each horn, two distinct externally rounded cervices, and a single vagina with a short nonobstructing vaginal septum in the upper part of the vagina. And as the appropriate mode of delivery is still unclear, each case should be managed as the condition requires, and in our case urgent bilateral caesarean sections were performed.

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TWIN PREGNANCY IN UTERUS BICORNIS

Journal of the American Medical Association ◽

10.1001/jama.1911.04260100276014 ◽

1911 ◽

Vol LVII (18) ◽

pp. 1450

Author(s):

PHELPS G. HURFORD

Keyword(s):

Twin Pregnancy ◽

Uterus Bicornis

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Prenatally Acquired Multiple Limb Ischemia in a Very Low Birth Weight Monochorionic Twin

Fetal Diagnosis and Therapy ◽

10.1159/000434644 ◽

2015 ◽

Vol 41 (3) ◽

pp. 237-238 ◽

Cited By ~ 3

Author(s):

Zbyněk Straňák ◽

Peter Korček ◽

Lucie Hympánová ◽

Martin Kynčl ◽

Ladislav Krofta

Keyword(s):

Birth Weight ◽

Twin Pregnancy ◽

Very Low Birth Weight ◽

Rare Event ◽

Limb Ischemia ◽

Unique Case ◽

Monochorionic Twin ◽

Macroscopic Findings ◽

Severe Ischemia

Limb ischemia is an extremely rare event occuring in monochorionic twin pregnancy complicated by twin-to-twin transfusion syndrome (TTTS) and twin anemia polycythemia sequence (TAPS). The authors describe a case of TTTS and TAPS treated successfully using amnioreduction and laser ablation. However, severe ischemia of both lower extremities in the recipient twin developed after the fetal treatment. This serious complication was diagnosed on MRI in utero and confirmed postnatally. Elective amputation of the affected limbs was performed. The etiology of the disease remains unclear despite profound clinical and histopathological examinations; although the role of thromboembolism in monochorionic pregnancy seems to be most likely, this unique case of multiple limb ischemia with distinct macroscopic findings has not yet been described.

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