Early prenatal diagnosis of parapagus conjoined twins
| Autor: | António Portugal, Ângela Melo, Rita Dinis, Ana Isabel Sousa, Isabel Cerveira |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Prenatal diagnosis Case Report 03 medical and health sciences 0302 clinical medicine Conjoined twins Medicine Human embryogenesis termination of pregnancy Pathological Pregnancy lcsh:R5-920 030219 obstetrics & reproductive medicine Monozygotic twinning business.industry Obstetrics ultrasound Ultrasound General Medicine medicine.disease Gestation business lcsh:Medicine (General) 030217 neurology & neurosurgery Fetal medicine |
| Zdroj: | Clinics and Practice Clinics and Practice, Vol 8, Iss 2 (2018) |
| ISSN: | 2039-7283 2039-7275 |
| Popis: | Conjoined twinning occurs in 1/100 of monozygotic twins, 1/50,000 gestations and 1/250,000 live births. It is the consequence of a division event at the primitive streak stage of the human embryonic development, about 13-14 days after fertilisation, in monochorionic monoamniotic gestations. A healthy pregnant woman, Gravida 2 Para 1, was admitted into our Fetal Medicine Unit to perform the first trimester ultrasound. A diagnosis of conjoined parapagus twinning based on ultrasound features was made at 11 weeks of gestation, and the couple decided to terminate the pregnancy. The ultrasound showed two independent skulls and hearts, a shared spine below the thoracic level, and a shared stomach. The pathological findings were slightly different, showing two independent stomachs draining into a common duodenum. The karyotype was 46 XY. Early prenatal ultrasound may provide a window to counsel the family and to offer an early termination of pregnancy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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