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

Author(s):  
Soraia S. Cunha ◽  
Rosália S. Coutada ◽  
Ana R. Neiva ◽  
Rosete Nogueira

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.

1970 ◽  
Vol 10 (4) ◽  
pp. 289-292
Author(s):  
F Sharmin ◽  
F Begum ◽  
T Parveen ◽  
SF Khatun ◽  
W Fatima

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


2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Mehmet A. Osmanağaoğlu ◽  
Turhan Aran ◽  
Süleyman Güven ◽  
Cavit Kart ◽  
Özgür Özdemir ◽  
...  

Objective. Conjoined twin is a rarely seen congenital anomaly together with severe mortality and morbidity. The more common types of conjoined twins include the thoracopagus type, where the fusion is anterior, at the chest, and involves the heart. We are reporting one case of conjoined thoracopagus twins diagnosed by ultrasonography at 11 weeks. Case Report. In a multigravid pregnant woman who has been admitted to our clinic with a diagnosis of conjoined twins, thoracopagus, by ultrasonography at an 11-week gestation, termination of the pregnancy was performed. Conclusion. Making an early diagnosis with ultrasonographic examination gives the parents a chance to elect pregnancy termination.


2016 ◽  
Vol 11 (1) ◽  
pp. 62-64
Author(s):  
Sabina Lamichhane ◽  
B Banerjee ◽  
S Subedi

In the present case study we are reporting a case of thoracoomphalopagus conjoined twins. A 24 years old gravida two para 0+1 carrying thoracoomphalopagus conjoined twins was diagnosed by ultrasonography at early second trimester with single placenta attached posteriorly and low lying. The mortality and morbidity of conjoined twins are high so making the early diagnosis with ultrasonographic examination provides the parents a chance to elect for pregnancy termination.


2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 93-96
Author(s):  
V. Stoyanov ◽  
D. Petkov ◽  
P. Bozdukova

Pott’s puffy tumor (PPT) is a rare complication of sinusitis characterized by osteomyelitis of the frontal bone with subperiosteal abscess presenting as frontal swelling. It was first described by Sir Percival Pott in 1768 in relation to frontal head trauma. Later, it was established that this entity is more common in relation to frontal sinusitis (1). In this article we report a case of PPT in a 17-year-old boy. CT scan confirmed subperiosteal abscess. At surgery, the subperiosteal abscess was drained and sequestrectomy of the affected frontal bone was done. Broad-spectrum antibiotics were given for 4 weeks. The patient recovered without residual problems and has remained well. PPT is now relatively uncommon and early diagnosis and prompt treatment is necessary to avoid further intracranial complications, which can be life-threatening.


Radiography ◽  
2020 ◽  
Vol 26 (2) ◽  
pp. e126-e128
Author(s):  
S. Vegar-Zubović ◽  
S. Prevljak ◽  
A. Behmen ◽  
H. Bektešević ◽  
D. Zubović ◽  
...  

Folia Medica ◽  
2016 ◽  
Vol 58 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Hatice Reşorlu ◽  
Suzan Saçar ◽  
Beşir Şahin Inceer ◽  
Ayla Akbal ◽  
Ferhat Gökmen ◽  
...  

AbstractBrucellosis is a zoonotic disease widely seen in endemic regions and that can lead to systemic involvement. The musculoskeletal system is frequently affected, and the disease can exhibit clinical involvements such as arthritis, spondylitis, spondylodiscitis, osteomyelitis, tenosynovitis and bursitis. Spondylitis and spondylodiscitis, common complications of brucellosis, predominantly affect the lumbar and thoracic vertebrae.Epidural abscess may occur as a rare complication of spondylitis. Spinal brucellosis and development of epidural abscess in the cervical region are rare. Development of epidural abscess affects the duration and success of treatment. Spinal brucellosis should be considered in patients presenting with fever and lower back-neck pain in endemic regions, and treatment must be initiated with early diagnosis in order to prevent potential complications.


2005 ◽  
Vol 19 (12) ◽  
pp. 735-736 ◽  
Author(s):  
Inian Samarasam ◽  
Sudhakar Chandran ◽  
Uday Shankar ◽  
Biju George ◽  
Ashok Chacko ◽  
...  

Jejunogastric intussusception is an uncommon but potentially life-threatening complication of a previous gastrojejunal anastamosis. Although jejunogastric intussusception was first described in 1914, fewer than 200 cases have been reported in the English literature thus far. Awareness of this rare complication would help in early diagnosis and appropriate management. Described here is a case report of a patient who presented with hematemesis due to an acute jejunogastric intussusception associated with gangrene of the intussuscepted jejunum.


2009 ◽  
Vol 34 (S1) ◽  
pp. 280-280
Author(s):  
A. Kucinska-Chahwan ◽  
T. Roszkowski ◽  
J. Garwolinski ◽  
M. Szyszka ◽  
G. Jakiel

2021 ◽  
Vol 1 (31) ◽  
pp. 12
Author(s):  
Alexandra Munteanu ◽  
Mona Elena Constantin ◽  
Simona Vlădăreanu ◽  
Adriana Tecuci ◽  
Ciprian Pop-Began ◽  
...  

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 ◽  
...  

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.


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