scholarly journals Pre- and Postnatal Features of Hydrometrocolpos in One Fetus of a Dizygotic Twin Pregnancy

2009 ◽  
Vol 3 (3) ◽  
pp. 97-101 ◽  
Author(s):  
Juan Mario Troyano-Luque ◽  
Margarita Álvarez de la Rosa ◽  
Ana Isabel Padilla ◽  
Laura Ces ◽  
José María Martínez ◽  
...  
Keyword(s):  
Neonatal Death ◽  
Twin Pregnancy ◽  
Ambiguous Genitalia ◽  
Cystic Mass ◽  
Dizygotic Twin ◽  
Anal Atresia ◽  
Female Fetus ◽  
Bicornuate Uterus ◽  
Cloacal Anomaly

Abstract A female fetus of a dizygotic pregnancy presented with a retrovesical cystic mass at 16 weeks. Severe and recurrent fetal ascitis developed at 25 weeks. Pre-eclampsia, probably due to mirror syndrome, precipitated fetal extraction, which led to severe prematurity complications and neonatal death. Necropsy showed: cloacal anomaly, anal atresia, ambiguous genitalia and bicornuate uterus.

Prenatale echografische diagnose van een cloacale malformatie

2021 ◽  
Author(s):  
S. BOECKSTAENS ◽  
B. LEBBE
Keyword(s):  
Urinary Tract Obstruction ◽  
Cystic Mass ◽  
Female Fetus ◽  
Cloacal Malformation ◽  
Normal Bladder ◽  
Fetal Movements ◽  
Cloacal Malformations ◽  
Adverse Influence ◽  
Cloacal Anomaly ◽  
Critical Intervention

Prenatal ultrasound diagnosis of a cloacal malformation Cloacal malformations are a spectrum of rare congenital disorders caused by the arrest of the cloacal division during different stages in early embryogenesis. They necessitate critical intervention at birth, posing important surgical challenges. The majority unfortunately remains undetected during prenatal screening. Knowledge about sonographic red flags, however, may improve antenatal detection and therefore postnatal outcome as a result of a timely referral to multidisciplinary tertiary centers. A 29-year-old patient presents at the hospital due to decreased fetal movements in the third trimester of pregnancy. The ultrasound reveals an anechoic bilobed cystic mass with a thick midline septum within the pelvis of a female fetus. The diagnosis of a cloacal anomaly with associated duplicated vaginas and uteri is made. Severe accumulation of urine lies at the base of bilateral hydrocolpos, peritoneal ascites and a urinary tract obstruction with an adverse influence on both pulmonary and renal development. The baby is prematurely delivered by an emergency caesarean section. Her condition is poor, requiring immediate respiratory resuscitation. An explorative laparotomy on the following day confirms the diagnosis. The first steps towards anatomical correction are taken. It may be concluded that the triad of bilateral hydronephrosis, a pelvic cystic mass and an absent normal bladder within a female fetus should always raise suspicion of a cloaca.

scholarly journals Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Lívia Teresa Moreira Rios ◽  
Edward Araujo Júnior ◽  
Luciano Marcondes Machado Nardozza ◽  
Ana Carolina Rabachini Caetano ◽  
Antonio Fernandes Moron ◽  
...  
Keyword(s):  
Pathological Condition ◽  
Fetal Brain ◽  
Abdominal Distension ◽  
Ambiguous Genitalia ◽  
Infectious Complications ◽  
Cystic Mass ◽  
Caucasian Woman ◽  
Bilateral Hydronephrosis ◽  
Rectal Atresia ◽  
Cloacal Anomaly

Cloacal malformation is an extremely rare fetal pathological condition that presents as a variety of defects. It predominantly affects females, with prevalence of 1 in 50,000 births. Prenatal ultrasonography on a 20-year-old caucasian woman (G4P1A2) at 33 weeks of pregnancy showed the fetus having a large cystic mass in the lower abdomen with a single septum, bilateral hydronephrosis, ambiguous genitalia, and a single umbilical artery. The pregnancy developed accentuated oligohydramnios, and presence of a fetal brain-sparing effect was diagnosed using arterial Doppler velocimetry. The newborn showed abdominal distension, ambiguous genitalia, and rectal atresia, with a single perineal opening. Pelvic ultrasound done on the first day after delivery revealed the presence of a large retrovesical septated cystic mass of dense content in the fetal abdomen, and bilateral hydronephrosis. Hysterotomy was performed, and 70 mL of dense liquid was drained through an abdominal colostomy. The infant died on the 27th day of life as a result of infectious complications. Prenatal diagnosing of female urogenital anomalies is usually difficult because of their rarity, different types of manifestation, and lack of characteristic ultrasound signs. Presence of a septated cyst with dense content in the fetal abdomen confirms the finding of hydrometrocolpos, thus raising clinical suspicion of a cloacal anomaly.

scholarly journals Case Report: Dizygotic twin pregnancy after intracytoplasmic sperm injection of 1 day old unfertilized oocytes

1997 ◽  
Vol 12 (11) ◽  
pp. 2560-2562 ◽  
Author(s):  
S. Bussen ◽  
L. Mulfinger ◽  
M. Sutterlin ◽  
M. Schleyer ◽  
W. Kress ◽  
...  
Keyword(s):  
Case Report ◽  
Intracytoplasmic Sperm Injection ◽  
Twin Pregnancy ◽  
Dizygotic Twin

scholarly journals Twin pregnancy in a bicornuate uterus in rural Kenya: A case report for accidental discovery and successful delivery

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Hussein E. Elias ◽  
James A. Amisi
Keyword(s):  
Case Report ◽  
Twin Pregnancy ◽  
Mode Of Delivery ◽  
Vital Signs ◽  
Rare Occurrence ◽  
Middle Income ◽  
Bicornuate Uterus ◽  
Increased Risk ◽  
Uterine Anomalies ◽  
Adverse Pregnancy

Introduction: Uterine anomalies are often identified during pregnancy, during infertility evaluation or pregnancy miscarriage and have been associated with an increased risk of adverse pregnancy outcomes. Although some studies have documented the rare occurrence of spontaneous twin pregnancy in each horn of a bicornuate uterus, this is the first time this is being documented in Kenya, to the best of our knowledge. This is a rare occurrence and reporting of this case adds to the documentation of such cases.Patient presentation: This is a case report for a 30-year-old female, para 2+0 at 34 weeks 4 days by dates, who presented with features of labour. Upon examination, she had normal vital signs and a fundal height of 38 weeks with multiple foetal parts both in cephalic presentation and two foetal heart rates within normal range. Her antenatal profile was non-contributory and had undergone two ultrasounds that confirmed twin gestation with no other notable findings.Management and outcome: The patient had a spontaneous vertex delivery of the first twin with a good outcome. There was a delay in the delivery of the second twin and a caesarean section was done with an indication of non-reassuring foetal status and low-lying placenta. The bicornuate uterus was accidentally identified during the surgery. The outcome was good, with an APGAR score of 6 in the first minute and 9 at 10 min.Conclusion: Although this is a rare occurrence, we would like to sensitise healthcare workers in rural low- to middle-income countries that this can occur, and they should attempt to increase antenatal diagnosis as it can influence the mode of delivery.

A dizygotic twin pregnancy in a MODY 3-affected woman

2016 ◽  
Vol 53 (5) ◽  
pp. 849-852 ◽  
Author(s):  
O. Bitterman ◽  
D. Iafusco ◽  
F. Torcia ◽  
N. Tinto ◽  
A. Napoli
Keyword(s):  
Twin Pregnancy ◽  
Dizygotic Twin ◽  
Affected Woman

Mifepristone-induced abortion in one horn and a growing fetus in another horn in a patient with a twin pregnancy in a bicornuate uterus

2006 ◽  
Vol 86 (6) ◽  
pp. 1764.e3-1764.e5 ◽  
Author(s):  
Angel Chao ◽  
An-Shine Chao ◽  
Shih-Tíen Wang ◽  
Tzu-Hao Wang
Keyword(s):  
Twin Pregnancy ◽  
Induced Abortion ◽  
Bicornuate Uterus
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