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Related Experiment Videos

[Conjoined twins (Monstra duplicia)].

Kazimierz Was1, Alfred Reroń, Hubert Huras

  • 1Klinika Ginekologii i Połoznictwa Septycznego, Collegium Medicum UJ w Krakowie.

Medycyna Wieku Rozwojowego
|November 13, 2004
PubMed
Summary

This case study details the delivery of thoracopagus conjoined twins at 23 weeks gestation. Autopsy revealed a holoacardius immaturus, a rare conjoined twin malformation.

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Area of Science:

  • Perinatology
  • Fetal Medicine
  • Congenital Anomalies

Background:

  • Conjoined twinning is a rare complication of pregnancy.
  • Early diagnosis and management are crucial for fetal outcomes.
  • Thoracopagus twins are the most common type of conjoined twins.

Observation:

  • An 18-year-old primigravida presented at 23 weeks gestation with full cervical dilation.
  • Ultrasonography revealed a bigeminal pregnancy with suspected conjoined twins in breech presentation.
  • Fetal heart rates were 40 bpm for the first fetus and undetectable for the second.

Findings:

  • Delivery was performed via manual extraction.
  • Both fetuses were female and stillborn.
  • Autopsy confirmed a diagnosis of Hemithoracogastropagus holoacardius immaturus.

Implications:

  • This case highlights the challenges in managing advanced conjoined twin pregnancies.
  • Understanding rare malformations like holoacardius immaturus is essential for accurate diagnosis and counseling.
  • Further research into the etiology and management of conjoined twins is warranted.

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