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An omphalopagus parasitic twin after intracytoplasmic sperm injection
Keiya Fujimori1, Tomohiro Shiroto, Shoji Kuretake
1Departments of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, Fukushima City, Fukushima, Japan. fujimori@fmu.ac.jp
Objective:
To describe a first case of parasitic twin achieved after intracytoplasmic sperm injection (ICSI).
Design:
Case report.
Setting:
Perinatal center at a Japanese university hospital.
Patient(S):
A 30-year-old pregnant Japanese woman with a history of secondary infertility achieved after ICSI was diagnosed with an omphalopagus parasitic twin pregnancy by prenatal ultrasound at 28 weeks of gestation.
Intervention(S):
A female infant was delivered by scheduled cesarean section at 30 weeks of gestation. The cesarean section was performed for dystocia.
Main Outcome Measure(S):
Brief review of parasitic twin and malformations in fetuses achieved after ICSI.
Result(S):
Resuscitation was not done because of the poor prognosis for both fetuses. Molecular analysis with informative genetic markers is consistent with monozygotic pregnancy.
Conclusion(S):
A careful ultrasound examination is indicated to detect additional anomalous findings in twin fetuses achieved after ICSI.
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