scholarly journals Prenatal Diagnosis and Postnatal Findings of Cephalothoracopagus Janiceps Disymmetros: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Lívia Teresa Moreira Rios ◽  
Edward Araujo Júnior ◽  
Luciano Marcondes Machado Nardozza ◽  
Daniela Cristina Nacaratto ◽  
Antonio Fernandes Moron ◽  
...  
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Twin Pregnancy ◽  
Rare Variants ◽  
Monozygotic Twins ◽  
Conjoined Twins ◽  
Incidence Rates ◽  
Typical Case ◽  
Embryonic Disk

Conjoined twins are rare variants of monozygotic twins, which result from an incomplete division of the embryonic disk. Cephalothoracopagus is a rare twin pregnancy described as imperfect fusion of the head and chest, but separated columns, limbs, and pelvis. They occur with incidence rates that range from 1 per 50,000 to 1 per 100,000 births; however, the incidence of the cephalothoracopagus variety is 1 per 58 conjoined twins. In the case of identical and symmetric faces caused by the orientations of the 2 notochordal axes that are perfectly ventroventral, they are called janiceps disymmetros. We present a prenatal diagnosis of a typical case of cephalothoracopagus janiceps disymmetros and the diagnostic confirmation by image and pathology exams.

scholarly journals Do Males Affect Twinning Events? A Review of Current Findings/Twin Research Reviews: Monozygotic Twins Discordant for Parkinson’s Disease; Fetal Loss in Twin Pregnancies Following Prenatal Diagnosis; Uterine Rupture and Repair in an Early Twin Pregnancy; Twin Study of Affectionate Communication/Human Interest: Conjoined Twins in a Triplet Set; Identical Twin Nurses Deliver Identical Twins; Identical Twins Discordant for COVID-19 Recovery Course; Identical Twins Pass Away from COVID-19; Archeological Finds of Oldest Identical Twins

2021 ◽  
pp. 1-5
Author(s):  
Nancy L. Segal
Keyword(s):  
Prenatal Diagnosis ◽  
Twin Study ◽  
Uterine Rupture ◽  
Twin Pregnancy ◽  
Fetal Loss ◽  
Monozygotic Twins ◽  
Conjoined Twins ◽  
Identical Twins ◽  
Human Interest ◽  
Twin Pregnancies

Abstract Research into the origins of twinning has focused mostly on contributions from the female side of the family. A review of current findings suggests that possible male contributions to twinning events have been overlooked. This section is followed by brief reviews of twin research concerning monozygotic twins discordant for Parkinson’s disease, fetal loss in twin pregnancies following prenatal diagnosis, uterine rupture and repair in an early twin pregnancy and a twin study of affectionate communication. The concluding portion of this article presents human interest stories involving twins that are both informative and poignant, namely conjoined twins in a triplet set, identical twin nurses who delivered identical twins, identical twins discordant for COVID-19 recovery course, identical twins who passed away from COVID-19 and archeological finds of the oldest identical twins.

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

Conjoined twins – A case report of prenatal diagnosis of cephalothoracoomphalopagus

Radiography ◽  
2020 ◽  
Vol 26 (2) ◽  
pp. e126-e128
Author(s):  
S. Vegar-Zubović ◽  
S. Prevljak ◽  
A. Behmen ◽  
H. Bektešević ◽  
D. Zubović ◽  
...  
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Conjoined Twins

P26.12: Prenatal diagnosis of the conjoined twins with the vein of Galen aneurysm in one fetus-case report

2009 ◽  
Vol 34 (S1) ◽  
pp. 280-280
Author(s):  
A. Kucinska-Chahwan ◽  
T. Roszkowski ◽  
J. Garwolinski ◽  
M. Szyszka ◽  
G. Jakiel
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Conjoined Twins ◽  
Vein Of Galen ◽  
Vein Of Galen Aneurysm

scholarly journals One heart is not enough – conjoined twins: prenatal diagnosis and assessment of associated malformations. Case report

2021 ◽  
Vol 1 (31) ◽  
pp. 12
Author(s):  
Alexandra Munteanu ◽  
Mona Elena Constantin ◽  
Simona Vlădăreanu ◽  
Adriana Tecuci ◽  
Ciprian Pop-Began ◽  
...  
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Conjoined Twins ◽  
Associated Malformations

Prenatal diagnosis of 22q11.2 deletion syndrome in twin pregnancy: A case report

2012 ◽  
Vol 41 ◽  
pp. 6-9 ◽  
Author(s):  
Ahmet Gul ◽  
Kemal Gungorduk ◽  
Isil Turan ◽  
Gokhan Yildirim ◽  
Ali Gedikbasi ◽  
...  
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Twin Pregnancy ◽  
22Q11.2 Deletion Syndrome ◽  
Deletion Syndrome ◽  
22Q11.2 Deletion

scholarly journals Asymmetric parasitic twins - Heteropagus

2020 ◽  
Vol 66 (11) ◽  
pp. 1526-1529
Author(s):  
Rita de Cássia S. Alves ◽  
Adriana Ubirajara Silva Petry ◽  
Josenel Maria Barcelos Marçal ◽  
Bruno Hochhegger ◽  
Andréa Souto Damin ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Prenatal Care ◽  
Twin Pregnancy ◽  
Preoperative Planning ◽  
Relevant Information ◽  
Conjoined Twins ◽  
Cervical Region ◽  
Rare Occurrence ◽  
Rare Presentation ◽  
Prenatal Imaging

SUMMARY BACKGROUND: Asymmetric or heteropagus conjoined twins is a rare occurrence, with an incidence of one case in 1-2 million. Conjoined twins are classified according to their symmetry, place of fusion, and grade of duplication. METHODS: We report here an extremely rare presentation of parasitic twins not described before. We describe macro and micro anatomic alterations and discuss the aspects of this peculiar presentation and the importance of prenatal diagnosis. RESULTS: The case of a twenty-three-year-old patient, with monochorionic, monoamniotic asymmetrically-conjoined twin pregnancy, discovered at 29 weeks of gestational age. We believe that this report calls attention to this presentation and the importance of prenatal care and management. The twins were delivered vaginally without life. The twins’ combined weight was 1.300 gr. They were bonded in the left cervical region. CONCLUSION: This report may help to find strategies for clinical decisions in future cases. Antepartum diagnosis is important to the management, preoperative planning, and outcomes. Prenatal imaging exams like echocardiography, CT, MRI, and ultrasonography are feasible and can provide relevant information about malformation severity and prognosis.

scholarly journals Early prenatal diagnosis of conjoined twins: a case report

2018 ◽  
Vol 7 (12) ◽  
pp. 5162
Author(s):  
Soraia S. Cunha ◽  
Rosália S. Coutada ◽  
Ana R. Neiva ◽  
Rosete Nogueira
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Early Diagnosis ◽  
Rare Complication ◽  
Conjoined Twins ◽  
Termination Of Pregnancy ◽  
High Complexity ◽  
Fixed Position ◽  
Mortality And Morbidity ◽  
Surgical Separation

Conjoined twins are a very rare complication of monochorionic monoamniotic pregnancies, associated with severe mortality and morbidity. Ultrasonography has made early diagnosis of conjoined twins possible, allowing prompt management and counselling of parents. The diagnosis should be suspected when monozygotic fetuses are shown to consistently hold the same fixed position relative to each other. The location and extent of fusion between the twins determine the potential for surgical separation and postnatal survival. The authors report a case of conjoined thoraco-omphalopagus twins, diagnosed by ultrasonography at 10 weeks of gestation. Due to high complexity of fetal fusion, termination of pregnancy was performed upon patient´s request.

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.

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