Chorangiopagus Parasiticus Twins

Kakkar, Nandita; Vasishta, Rakesh Kumar; Panwar, Monika; Narang, Anil; Gupta, Indu; Banerjee, A K

doi:10.1080/15227950290112806

Cited by 2 publications

(3 citation statements)

References 8 publications

(8 reference statements)

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“…A case reported by Kakkar et al contained edematous cystic area in upper part of the fetus, similarly to the present case which contained a cystic cavity [12]. The need of ultrasound surveillance and control should be emphasized here because this malformation can be identified by ultrasound as early as 12 weeks gestation [12].…”

Section: Discussionsupporting

confidence: 80%

“…Acardius acephalus is also termed with an older name chorangiopagus parasiticus (CAPP) and is found in 1% of monozygous twins. The description of CAPP fetus is the most suitable to the present case as it was an edematous fetus with discernible lower limbs, incomplete pelvis and lower spine elements, incomplete abdominal viscera like intestines, but without any thoracic organs [12]. A case reported by Kakkar et al contained edematous cystic area in upper part of the fetus, similarly to the present case which contained a cystic cavity [12].…”

Section: Discussionsupporting

confidence: 57%

“…The description of CAPP fetus is the most suitable to the present case as it was an edematous fetus with discernible lower limbs, incomplete pelvis and lower spine elements, incomplete abdominal viscera like intestines, but without any thoracic organs [12]. A case reported by Kakkar et al contained edematous cystic area in upper part of the fetus, similarly to the present case which contained a cystic cavity [12]. The need of ultrasound surveillance and control should be emphasized here because this malformation can be identified by ultrasound as early as 12 weeks gestation [12].…”

Section: Discussionmentioning

confidence: 99%

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Acardius acephalus fetus – report of distinctive anatomical anomalies with regards to pathophysiology of TRAP sequence

Lewitowicz¹,

Wincewicz²,

Kozieł³

et al. 2015

Clin. Exp. Obstet. Gynecol.

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Acardiac fetuses are consequences of twin reversed arterial perfusion (TRAP). Here the authors present a case of 40-year-old gravida IX who gave birth to a healthy, 2,900 g female child by a cesarean section. Additionally amorphic 1,020 g maldeveloped fetus was removed. There was a diamnion monochorionic type of twin placenta with incorrect single umbilical arteries (SUA) both in umbilical cord of healthy fetus and in atrophic second umbilical cord. A malformed fetus developed a rather well formed lower leg with four digital foot and oval shape amorphous body mass with omphalocele and eventration of the intestines. X-ray picture showed well visible metatarsal and femur bone and anatomically undefined bones cluster in the central part. A cavity of fetal body contained intestines -the only one well-formed organ, nests of heterotopic pilosebaceous residues, remnants of adrenal glands, well-formed ganglia, and nests of neural tissue covered by neuroepithelium.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acardius acephalus fetus – report of distinctive anatomical anomalies with regards to pathophysiology of TRAP sequence

Lewitowicz¹,

Wincewicz²,

Kozieł³

et al. 2015

Clin. Exp. Obstet. Gynecol.

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Prenatal diagnosis of pygopagus tetrapus parasitic twin: case report

Gül

Aslan

Ceylan

2004

BMC Pregnancy Childbirth

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BackgroundAsymmetric and parasitic conjoined twins are rarer anomalies of monochorionic monoamniotic twins, consisting of an incomplete twin attached to the fully developed body of the co-twin.Case presentationA 30-year-old multigravid woman referred to maternal fetal unit due to polyhydramnios at 28th week of gestation. Sonographic examination revealed a single fetus and polyhydramnios with amniotic fluid index 30 cm. The fetus had normal apparent single head, spine, thorax, abdomen, two upper and two lower limbs, and two relatively well developed rudimentary parasitic lower limbs at sacral region. Lower limbs of the autosite were moving freelly but no movement was detected at the parasite. The parasite contained irregular lower limbs and left foot with three toes. Short and deformed long bones were also present in the parasitic limbs. A Cesarean section was performed at 38th week of gestation and a live female infant weighing 3600 g was delivered. The parasitic lower limbs were totally excised. Post-operative period was uneventful and the newborn was discharged as healthy. Post-natal follow-up was normal at nine-month-old.ConclusionPygopagus tetrapus parasitic twin is a rare form of conjoined twins and in utero diagnosis with ultrasound assists in prenatal management and counselling with parents.

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Chorangiopagus Parasiticus Twins

Cited by 2 publications

References 8 publications

Acardius acephalus fetus – report of distinctive anatomical anomalies with regards to pathophysiology of TRAP sequence

Acardius acephalus fetus – report of distinctive anatomical anomalies with regards to pathophysiology of TRAP sequence

Prenatal diagnosis of pygopagus tetrapus parasitic twin: case report

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