scholarly journals Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report

2020 ◽  
Vol 9 ◽  
pp. 1878
Author(s):  
Behnaz Razavi ◽  
Maryam Kasraeian ◽  
Atefe Hashemi ◽  
Shaghayegh Moradi Alamdarloo ◽  
Fateme Sadat Najib
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
Delivery Time ◽  
Fetal Complications

Background: True knots and tight loops of umbilical cord can cause serious fetal complications in monochorionic-monoamniotic twins but are usually unexpected in Monochorionic-diamniotic twins because of the presence of the intertwin membrane. This report presents a case of monochorionic-diamniotic twin gestation with a complex cord knots. Case report: A 31-year-old G2Ab1 with monochorionic-diamniotic twin pregnancy in the gestational age of 30 weeks presented with ruptured membrane since 3weeks before delivery. At the delivery time, multiple umbilical cord knots was found. Conclusion: Premature ruptured membrane can cause septostomy of the intertwin membrane, multiple umbilical cord knots and its complications. Therefore, these cases should be considered for evaluation of the presence of intertwin membrane and umbilical cord knots in each sonography examination. [GMJ.2020;9:e1878]

scholarly journals Thoracophagus Conjoint Twins: A Case Report

2019 ◽  
Vol 9 (2) ◽  
pp. 120-122
Author(s):  
Dipesh Paudel ◽  
Radha Devi Dhakal ◽  
Deepak Adhikari
Keyword(s):  
Case Report ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
Breech Presentation ◽  
Lower Limbs ◽  
Medical College ◽  
Same Gender

A 27 years old primigravida woman at 19 weeks of gestation was came for routine antenatal checkup in Chitwan Medical College was diag­nosed as twin pregnancy with thoracophagus conjoined twin. The fetal biometrics of both were consistent with the gestational age. Fetuses were found with fusion of the skin contour, at the level of the lower chest with complex appearing fused cardiac near midline and liver ap­pears separate. Both fetal heads were in breech presentation facing faces with each other at the same level. Bilateral upper and lower limbs were identified in both fetuses with same gender. The parents decided to terminate the pregnancy but refused autopsy.

Common umbilical cord insertion in a monochorionic, monoamniotic twin pregnancy - a case report.

Placenta ◽  
2019 ◽  
Vol 83 ◽  
pp. e66
Author(s):  
Filip Szkodziak ◽  
Piotr Szkodziak ◽  
Piotr Czuczwar ◽  
Sławomir Woźniak ◽  
Tomasz Paszkowski
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Twin Pregnancy ◽  
Umbilical Cord Insertion

scholarly journals Twin-Twin transfusion syndrome: a case report

2020 ◽  
Vol 9 (3) ◽  
pp. 1282
Author(s):  
Romi Bansal ◽  
Jasleen Kaur ◽  
Priyanka .
Keyword(s):  
Case Report ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
The Other ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Monochorionic Twin

Twin to twin transfusion syndrome is a rare but serious complication of monochorionic twin pregnancy. It is characterized by the development of abnormal placental vascular communication from one foetus (donor) to the other foetus (recipient). If left untreated it led to high rates of perinatal morbidity and mortality due to its poorly understood etiology and difficulty in diagnosing and treatment. Authors report a case of twin to twin transfusion syndrome in 24 years old primigravida with gestational age of 18 weeks 5 days diagnosed on ultrasound.

Intrapartum management of twin gestations

1998 ◽  
Vol 10 (4) ◽  
pp. 207-212 ◽  
Author(s):  
E Levinsky ◽  
JFR Barrett
Keyword(s):  
Gestational Age ◽  
Twin Pregnancy ◽  
Management Plan ◽  
Multiple Factors ◽  
Challenging Issue ◽  
Anaesthetic Staff ◽  
Fetal Complications ◽  
Intrapartum Management

The intrapartum management of the twin pregnancy has remained a controversial and challenging issue in obstetrics. Development of a management plan for delivery of a twin gestation necessitates consideration of multiple factors including fetal presentations, gestational age, estimated fetal weights, the presence of maternal or fetal complications, and the experience of the attending obstetrician, anaesthetic staff and neonatologists. In twin gestations in which a trial of labour is possible, the major factor determining the intrapartum course is the relative presentations of twin A and twin B on admission to the delivery suite.

P074. Preeclampsia starting at 17 weeks of gestational age in a twin pregnancy: A case report

2021 ◽  
Vol 25 ◽  
pp. e53
Author(s):  
Edson V. Cunha FIlho ◽  
Gustavo S. Raupp ◽  
José Antônio P. Soares ◽  
Lucas Schreiner
Keyword(s):  
Case Report ◽  
Gestational Age ◽  
Twin Pregnancy

scholarly journals Congenital Umbilical Appendix Misdiagnosed as Umbilical Granuloma: Report of 2 Cases

2018 ◽  
Vol 9 (3) ◽  
pp. 17
Author(s):  
Javad Ghoroubi ◽  
Leily Mohajerzadeh ◽  
Saran Lotfollahzadeh ◽  
Khashayar Atqiaee
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Umbilical Cord ◽  
Gestational Age ◽  
Vermiform Appendix ◽  
Coelomic Cavity ◽  
Hernia Sac ◽  
Surgical Exploration ◽  
Rare Congenital Anomaly ◽  
Umbilical Cord Hernia

Background: Umbilical cord hernia is an uncommon umbilical anomaly which develops during 10th to 12th weeks of gestational age owing to failure of complete bowel return into coelomic cavity. In extremely rare cases appendix is the only trapped organ in hernia sac which may erode the overlying membrane and simulate umbili-cal granuloma. Case Report: Two infants presented with delayed umbilical cord separation with a reddish mass at umbilicus which was initially diagnosed as umbilical granuloma. Surgical exploration on failure of conservative measures revealed it as vermiform appendix. Appendectomy was done in both cases. Conclusion: Vermiform appendix at umbilicus is a rare congenital anomaly and may simulate other pathologies at umbilicus.

scholarly journals Fetus papyraceous, a rare complication of twin pregnancy: case report

2020 ◽  
Vol 10 (1) ◽  
pp. 361
Author(s):  
Preeti Vashistha ◽  
Poonam Kashyap ◽  
Ashok Kumar ◽  
Chetna A. Sethi ◽  
Shivangini Rana
Keyword(s):  
Case Report ◽  
Twin Pregnancy ◽  
Rare Complication ◽  
Monozygotic Twins ◽  
Fetal Monitoring ◽  
Uterine Wall ◽  
Multiple Gestation ◽  
Second Trimester ◽  
Fetal Demise ◽  
Fetal Complications

Fetus papyraceous or compressus is the mummified fetus associated with multiple gestation, where one fetus dies in early second trimester, flattened, mummified and compressed between the membranes of the living fetus and the uterine wall. It is more common in monozygotic twins but may occur in dizygotic variety. However, the maternal and fetal complications in affected cases can be severe. We present a case that was diagnosed as dichorionic diamniotic twin gestation in early pregnancy which subsequently resulted in the fetal demise of one twin in second trimester leading to fetus papyraceus, but careful maternal and fetal monitoring leads to successful healthy outcome of mother and surviving fetus.

Fatal outcome in dichorionic twin pregnancy with velamentous cord insertion – case report

2019 ◽  
Vol 4 (67) ◽  
pp. 194
Author(s):  
Aida Petca ◽  
Oana Calo ◽  
Florica Şandru ◽  
Răzvan Petca ◽  
Nicoleta Măru ◽  
...  
Keyword(s):  
Case Report ◽  
Twin Pregnancy ◽  
Fatal Outcome ◽  
Velamentous Cord Insertion
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