2008
DOI: 10.1159/000132407
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Conjoined Twins in a Trichorionic Quadruplet Pregnancy after Ovulation Induction with Clomiphene Citrate

Abstract: Objective: We report a case of conjoined twins in a trichorionic quadruplet pregnancy after ovulation induction with clomiphene citrate for anovulation. Methods: The diagnosis of a trichorionic quadruplet pregnancy was made in routine ultrasound at 11 weeks’ gestation. Results: Conjoined twinning was thoracopagus and presented with increased nuchal translucency. Selective termination of the conjoined twins was performed with potassium chloride injection. The patient delivered 2 healthy infants after an unevent… Show more

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Cited by 8 publications
(8 citation statements)
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“…Gnatho-thoracopagus is used to describe cases of conjoined twins with union involving the mandible and the thorax. Only few cases have been described in the literature [2][3][4][5][6] . High-resolution transvaginal ultrasound imaging as early as 8-12 weeks of gestational age represents the standard method of diagnosis.…”
Section: Discussionmentioning
confidence: 99%
“…Gnatho-thoracopagus is used to describe cases of conjoined twins with union involving the mandible and the thorax. Only few cases have been described in the literature [2][3][4][5][6] . High-resolution transvaginal ultrasound imaging as early as 8-12 weeks of gestational age represents the standard method of diagnosis.…”
Section: Discussionmentioning
confidence: 99%
“…Seven of cases were reported as a part of a triplet pregnancy, but three of them had only conjoined twins. A case of conjoined twins was been reported after ovulation induction with only clomiphene citrate (33). We report a case of conjoined twins after a cleavagestage transfer.…”
Section: Figurementioning
confidence: 88%
“…There are also some rare complications which have been reported in high-order pregnancies, but due to the limited number of cases, no guidelines are available. Fetofetal transfusion has been reported in quadruplet pregnancies [104][105][106] as well as quadruplet pregnancies with conjoined twins [107,108]. Another complication that has been described in a quadruplet pregnancy was the rupture of an unscarred uterus, raising the debate of the ideal delivery time for a high-order pregnancy [109].…”
Section: Complications and Management Of Quadruplet/quintuplet Pregnamentioning
confidence: 99%