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Prenatal ultrasound diagnosis of thoracopagus conjoined twins

Prenatal ultrasound diagnosis of thoracopagus conjoined twins Mark Kalchbrenner, DO,* Stuart Weiner, MD,? John Templeton, MD,$ and Thomas A. Losure, DO8 Conjoined twins are a rare occurrence in obstetric practice. More commonly known as Siamese twins, this phenomenon is shrouded in mystery and considered a curiosity by the general public. Current technology is providing a basis for earlier diagnosis and a better prognosis. A case in which the prenatal diagnosis of thoracopagus conjoined twins was made using real-time ultrasound is presented. CASE REPORT V.E. is a 22-year-old white female, gravida 111, para 2-0-0-2, who was referred for ultrasound to a tertiary center for a sizeldates discrepancy at 27 weeks of gestation. An ultrasound examination was performed, which demonstrated twins in a breechmreech presentation. Only one fetal heart was observed, and the relationship of the two fetal bodies to each other remained constant (Figs. 1 and 2). The fetuses were face to face, and all eight extremities demonstrated independent motion. Biparietal diameter measurements were consistent with the patient’s dates. Polyhydramnios was present, and a single placenta was visualized anteriorly. The diagnosis of thoracopagus conjoined twins at 27 weeks was made and discussed with the patient. Fetal echocardiography was subsequently performed, and consultation with a cardiovascular surgery http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Prenatal ultrasound diagnosis of thoracopagus conjoined twins

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References (24)

Publisher
Wiley
Copyright
Copyright © 1987 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870150112
Publisher site
See Article on Publisher Site

Abstract

Mark Kalchbrenner, DO,* Stuart Weiner, MD,? John Templeton, MD,$ and Thomas A. Losure, DO8 Conjoined twins are a rare occurrence in obstetric practice. More commonly known as Siamese twins, this phenomenon is shrouded in mystery and considered a curiosity by the general public. Current technology is providing a basis for earlier diagnosis and a better prognosis. A case in which the prenatal diagnosis of thoracopagus conjoined twins was made using real-time ultrasound is presented. CASE REPORT V.E. is a 22-year-old white female, gravida 111, para 2-0-0-2, who was referred for ultrasound to a tertiary center for a sizeldates discrepancy at 27 weeks of gestation. An ultrasound examination was performed, which demonstrated twins in a breechmreech presentation. Only one fetal heart was observed, and the relationship of the two fetal bodies to each other remained constant (Figs. 1 and 2). The fetuses were face to face, and all eight extremities demonstrated independent motion. Biparietal diameter measurements were consistent with the patient’s dates. Polyhydramnios was present, and a single placenta was visualized anteriorly. The diagnosis of thoracopagus conjoined twins at 27 weeks was made and discussed with the patient. Fetal echocardiography was subsequently performed, and consultation with a cardiovascular surgery

Journal

Journal of Clinical UltrasoundWiley

Published: Jan 1, 1987

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