A case of thoraco-omphalopagus conjoined twins with  intrauterine death

Conjoined twins or Siamese twins are identical twins that are joined in utero. The original Siamese twins were born in Siam (now Thailand) in 1811. They were males and lived for about 62 years. Incidence being 1 in 49,000 births to 1 in 1,89,000 births, this phenomenon is very rare. Approximate half are stillborn and one- third die within 24 hours of birth. Five types of conjoint twins are classically described, thoracopagus, omphalopagus, pygopagus, ischiopagus and craniopagus. With a reported incidence of 74-75% of all conjoint twins, Thoracopagus is the most common type. Omphalopagus with an incidence of 0.5% is the least common. Here we are reporting a case of thoraco-omphalopagus twin pregnancy with intra uterine death delivered by hysterotomy.

Download Full-text

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

Twin Research and Human Genetics ◽

10.1017/thg.2021.8 ◽

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.

Download Full-text

Twin pregnancy complicated by single intrauterine death. Problems and outcome with conservative management

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/j.1471-0528.1990.tb02521.x ◽

1990 ◽

Vol 97 (6) ◽

pp. 511-516 ◽

Cited By ~ 151

Author(s):

L. FUSI ◽

H. GORDON

Keyword(s):

Conservative Management ◽

Twin Pregnancy ◽

Intrauterine Death

Download Full-text

Consequences of in-utero death in twin pregnancy

The Lancet ◽

10.1016/s0140-6736(05)74548-7 ◽

2000 ◽

Vol 356 (9235) ◽

pp. 1109 ◽

Cited By ~ 1

Author(s):

POD Pharoah ◽

Y Adi

Keyword(s):

Twin Pregnancy ◽

In Utero

Download Full-text

A rare case of fetus papyraceous presenting in monozygotic biamniotic twins

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20196066 ◽

2019 ◽

Vol 9 (1) ◽

pp. 448

Author(s):

Lakshmi S. ◽

Rajkumar K.

Keyword(s):

Early Diagnosis ◽

Rare Case ◽

In Utero ◽

Intrauterine Death ◽

Second Trimester ◽

Maternal Monitoring ◽

Antenatal Visits ◽

Live Baby

Fetus papyraceous or compresses is characteristic of compressed mummified, parchment like remains of dead twin retained in utero after intrauterine death in the second trimester. It is an uncommon finding and we report in a G2P1L1 with 22 weeks with Monozygoticbiamniotic twins with fetus papyraceous stuck to left upper segment followed up to 36 weeks. The mother was advised regular antenatal visits and frequent feto-maternal monitoring was done. Patient delivered a single live baby and a placenta with mummified fetus within it. The incidence of fetus papyraceous is about 1 in 17000 to 1 in 20000 pregnancies. Early diagnosis of this condition helps in monitoring the surviving fetus.

Download Full-text

5 Re A (Children) (Conjoined Twins: Surgical Separation) (2000): The case of conjoined (Siamese) twins

Briefcase on Medical Law ◽

10.4324/9781843148913-13 ◽

2004 ◽

pp. 89-93

Keyword(s):

Conjoined Twins ◽

Siamese Twins ◽

Surgical Separation

Download Full-text

Conjoined Twins — A Genealogical Study

Acta geneticae medicae et gemellologiae ◽

10.1017/s1120962300025488 ◽

1970 ◽

Vol 19 (1-2) ◽

pp. 213-216 ◽

Cited By ~ 1

Author(s):

George B. Callahan ◽

Roy C. Mitchell

Keyword(s):

North Carolina ◽

Medical Schools ◽

Conjoined Twins ◽

The State ◽

Family Tree ◽

Genetic Studies ◽

Court Records ◽

Siamese Twins ◽

Image Position ◽

Made In

Beautiful and brilliant, content and capable, skillful and successful, these and multiple other adjectives may be used to describe persons on a family tree of Eng-Chang, the original Siamese twins (Fig. 1). These men chose the State of North Carolina for homes, and are considered among its most renowned citizens. They had some of the above characteristics and their descendants shared others.Data upon six generations of Eng-Chang families — some verified by their 1836 pamphlets, others as recent as 1969 court records in their county residence — are shown in the following table:Fig. 2 shows second and third generations in family groups made in the summer of 1865. Nine of Eng's 11 children are shown; 2 had died young. Likewise, 9 of Chang's 10 children are seen; one was born in 1868, as certified by Edinburgh's famous Prof. James Y. Simpson (1869). Two sets of twins, not joined, are recorded in their descendants. Though some members on this family tree are difficult to certify, the data available in these six generations are by far the most comprehensive found. Chromosome and other genetic studies are being initiated and pursued in anatomy departments of American and Thai Medical Schools.

Download Full-text

Low dose unfractionated heparin with low dose aspirin in treatment of thrombo prophylaxis in utero placental insufficiency: a new vision in heparinization during pregnancy

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20184927 ◽

2018 ◽

Vol 7 (12) ◽

pp. 4849

Author(s):

M. Madhubala ◽

C. Kasthuri ◽

Mansi Shukul ◽

J. Mohamed Ali

Keyword(s):

Unfractionated Heparin ◽

Live Birth ◽

Low Dose ◽

Gestational Hypertension ◽

In Utero ◽

Placental Insufficiency ◽

Optimal Dosage ◽

Intrauterine Death ◽

Dose Aspirin ◽

Low Dose Aspirin

Background: The use of heparin and aspirin in obstetric care has grown considerably since their introduction into clinical practice. Because of the physiological changes of pregnancy, the usage of heparin and optimal dosage of heparin remains uncertain. Here our institute designed low dose Unfractionated Heparin (5000 IU s/c daily) as thrombo Prophylaxis regimen. To study the outcome of low dose UFH (5000 IU sc /daily) + Low dose aspirin (75 mg oral per day) for thrombo prophylaxis in utero placental insufficiency, in patient with 2 or more abortions.Methods: This retrospective study was conducted in 135 patients with 2 or more abortions as obstetric history. Prophylactic low dose of UFH (5000 IU s/c daily) + LDA 75 mg oral was initiated. The Primary outcome is live birth, and secondary outcomes is Reduced incidence of early onset of gestational hypertension (HT), Intrauterine Growth Retardation (IUGR).Results: Out of 135 women 131 gave live birth, 2 had first trimester abortion and 2 had intrauterine death by 5 to 6 months. PIH was higher in patients with more than 30 years of age.Conclusions: In our Retrospective, data combination of low dose UFH (5000IU s/c) + LDA (75mg oral) is as safe as routine thrombo prophylaxis with good compliance.

Download Full-text