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

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

Download Full-text

Conjoined twins – A case report of prenatal diagnosis of cephalothoracoomphalopagus

Radiography ◽

10.1016/j.radi.2019.09.007 ◽

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

Download Full-text

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

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.7417 ◽

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

Download Full-text

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

Case Reports in Medicine ◽

10.1155/2012/273526 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 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.

Download Full-text

Early prenatal diagnosis of conjoined twins: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20184985 ◽

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.

Download Full-text