Anatomical study of five prenataly diagnosed sternopagus twins
| Autor: | Roger Robert, V Plattner, J. Y. Cohen, J. M. Rogez, J. Leborgne, MF Nomballais, Y. Heloury |
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| Rok vydání: | 1993 |
| Předmět: |
Male
medicine.medical_specialty Sternum Autopsy Prenatal diagnosis Ultrasonography Prenatal Pathology and Forensic Medicine Pregnancy medicine.artery Conjoined twins medicine Humans Radiology Nuclear Medicine and imaging Choledochal cysts Superior mesenteric artery Twins Conjoined business.industry medicine.disease Surgery Gestation Female Anatomy business Abortion Eugenic |
| Zdroj: | Surgical and Radiologic Anatomy. 15:35-39 |
| ISSN: | 1279-8517 0930-1038 |
| DOI: | 10.1007/bf01629859 |
| Popis: | Among conjoined twins (1 out 50000 births), thoracopagus occurs most frequently and is generally lethal. Our anatomical study of five sets of sternopagus twins (3 female, 2 male) was performed to determine the ability of prenatal sonography to detect these anomalies. Autopsy in four cases revealed identical malformations: common sternum, single malformed heart, joined hepatic parenchyma, and a common small bowel leading to a cystic dilatation situated on the ileal segment at the end of the superior mesenteric artery. The diagnosis of conjoined twins was made in all cases by prenatal sonography at the mean time of 24.6 gestation weeks (range 19-34). The malformations detected by prenatal sonography were a single cardiac mass (all cases), joined hepatic parenchymas (3 cases), and an ileal cystic dilatation (1 case). Pregnancy was terminated in four cases. In one case cesarean delivery was performed, and the infants died 48 hours later. Prenatal sonography currently seems to be the best examination for diagnosis of sternopagus twins and the detection of lethal malformations thus allowing interruption of pregnancy. |
| Databáze: | OpenAIRE |
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