First trimester diagnosis of dicephalic parapagus conjoined twins via transvaginal ultrasonography

Vural, Fisun; Vural, Bírol

doi:10.1002/jcu.20141

Cited by 20 publications

(10 citation statements)

References 9 publications

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“…This technique utilizes the capability of the amniotic fluid to act as a buffer during the scan (Liu et al, 2012). When appropriate, transvaginal ultrasound is also recommended (Vural and Vural, 2005;McHugh et al, 2006).…”

Section: Prenatal Diagnosis/detectionmentioning

confidence: 99%

Conjoined twins: From conception to separation, a review

et al. 2017

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Conjoined twins are suggested to result from aberrant embryogenesis. The two main theories proposed to explain the phenomena are fission and fusion. The incidence rate is 1 in 50,000 births; however, since about 60% of the cases are stillborn, the true incidence is approximated at 1 in 200,000. There is a higher predisposition towards female than male gender with a ratio of 3:1. Conjoined twins are classified based upon the site of attachment. The extent of organ sharing, especially the heart, determines the possibility and prognosis of a separation procedure. Meticulous preoperative evaluation, planning, and preparedness of the team are crucial for a successful separation. Separation of conjoined twins poses several technical, legal, and ethical issues. Clin. Anat. 30:385-396, 2017. © 2017 Wiley Periodicals, Inc.

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Section: Prenatal Diagnosis/detectionmentioning

confidence: 99%

Conjoined twins: From conception to separation, a review

et al. 2017

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“…Craniopagus-united on any portion of skull except face. Rare types - cephalo thoracopagus, cephalo thoraco omphalopagus,[12] etiopathogenesis.…”

Section: Introductionmentioning

confidence: 99%

Cephalothoracoomphalopagus: A rare type of conjoined twin

2014

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We present a case of female cephalothoracoomphalopagus conjoind twin, which is extremely rare type of conjoined twins. We also review the contemprory knowledge regarding incidence, etiopathogenesis, antenatal diagnosis and outcone or the prognosis of conjoint twins. The case belong to hindu female, no history of consanguineous marriage, ingestion of drugs or exposure to any radiation. History of one abortion and one twin delivery present. Conjoind twin was cephalothoracoomphalopagus type, delivered vaginaly at 30 wks of gestion to a 25 yrs old multigravida. Management of conjoind twin still remain challenges because of multiple congenital anomalies and poor outcome is seen.

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“…Some important hints that are highly suggestive for conjoined twins are: lack of a separating membrane, detection of other anomalies, multiple (>3) vessels in umbilical cords and fetal bodies are never seen separately on regular sonography visits [7]. Ultrasonography can diagnose CT from the beginning of 12 th week of pregnancy, and transvaginal sonography is also capable to detect it even in earlier times [8][9]. Utilization of MRI is also another unique imaging method for confirming ultrasonography findings.MRI technique is highly selective for evaluation the soft tissue defects, such as bladder extrophy , a common findings in CT [10][11].…”

Section: Case Reportmentioning

confidence: 99%