Découverte anténatale de jumeaux conjoints omphalopages à 13 semaines d’aménorrhée

Cuillier, Fabrice; Lemaire, Philippe; Sommer, Johannes; Abossolo, T

doi:10.1016/s1297-9589(01)00152-7

Cited by 8 publications

(2 citation statements)

References 16 publications

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“…Le diagnostic précoce est possible à l'échographie à partir de 12-14 semaines [7][8][9][10] ; à 22 semaines, on peut localiser de manière précise la zone d'accolement, analyser les structures dupliquées et rechercher les malformations associées surtout cardiaques (30 %) [2,5].…”

Section: Discussionunclassified

Jumeaux conjoints craniopages : difficultés de prise en charge en milieu africain

Ble¹,

Konan²,

Adjoussou³

et al. 2008

Gynécologie Obstétrique & Fertilité

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Section: Discussionunclassified

Jumeaux conjoints craniopages : difficultés de prise en charge en milieu africain

Ble¹,

Konan²,

Adjoussou³

et al. 2008

Gynécologie Obstétrique & Fertilité

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“…It is mostly carried out by transvaginal ultrasound during the first trimester of pregnancy [1,[4][5][6][7][8]. The sonographic diagnosis of conjoined twins should be based on the findings of an absent separating membrane and conjoined body parts which do not separate despite changes in fetal position.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of an Extremely Rare Type of Conjoined Twins: Cranio-Rachi-Pygopagus Twins

Durin¹,

Hors²,

Jeanne-Pasquier

et al. 2005

Fetal Diagn Ther

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First‐trimester diagnosis of conjoined twins

Pajkrt

Jauniaux

2005

Prenatal Diagnosis

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Conjoined twins are a rare and complex complication of monozygotic twinning, which is associated with high perinatal mortality. Early prenatal diagnosis of conjoined twins allows better counselling of the parents regarding the management options, including continuation of pregnancy with post-natal surgery, termination of pregnancy or selective fetocide in case of a triplet pregnancy. With the introduction of high-resolution and transvaginal ultrasound imaging, accurate prenatal diagnosis of conjoined twins is possible early in pregnancy. We have reviewed the medical literature on the early prenatal diagnosis of suspected conjoined twins using a MEDLINE search. Although first-trimester diagnosis of conjoined twins is feasible, false-positive cases are common before 10 weeks because, earlier in gestation, fetal movements are limited and monoamniotic twins may appear conjoined. As most parents opt for immediate termination of pregnancy at confirmation of the diagnosis, there are limited data on the prenatal follow-up of conjoined twins. When the parents opt for conservative management, half of the fetuses die in utero and another 44% will die during the neonatal period. A detailed analysis of case reports where 3D imaging was used indicates that this modality does not improve on the diagnosis made by 2D ultrasound. Overall, very early prenatal diagnosis and first-trimester 3D imaging provide very little additional practical medical information compared to the 11-14 weeks' ultrasound examination.

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Découverte anténatale de jumeaux conjoints omphalopages à 13 semaines d’aménorrhée

Cited by 8 publications

References 16 publications

Jumeaux conjoints craniopages : difficultés de prise en charge en milieu africain

Jumeaux conjoints craniopages : difficultés de prise en charge en milieu africain

Prenatal Diagnosis of an Extremely Rare Type of Conjoined Twins: Cranio-Rachi-Pygopagus Twins

First‐trimester diagnosis of conjoined twins

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