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Case of conjoined twin's cephalothoracopagus janiceps disymmetros

Year 2010, Volume: 41 Issue: 1, 43 - 46, 01.02.2010

Oya Demirci Erbil Çakar Elif Demirci Semih Tuğrul Oya Pekin Mehmet Uludoğan

Abstract

We report the prenatal imaging findings of a rare case of male cephalothoracopagus janiceps disymmetros diagnosed at 15 weeks' gestation by 2D ultrasound. Cephalothoracopagus janiceps refers to twins with two identical faces, on opposite sides of the large conjoined head, the two faces are identical and symmetrical, this is called cephalothoracopagus janiceps disymmetros The early diagnosis of conjoined twinning with a high probability of mortality is very important and allows the termination of the pregnancybefore 18- 24 weeks. So the mother can be protected from a major surgical procedure.

Keywords

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References

  • 1. Machin GA, Keith LG, Bamforth F. An Atlas of Multiple pregnancy: Biology and Pathology. Parthenon Publishers: New York 2. Edmonds LD, Layde PM. 1982. Conjoined twins in the United states, 1970-1977, Teratology 25:301- 308
  • 3.Spitz L, KielyEM. 2003. Conjoined twins. JAMA 289:1307-1310
  • 4. Slager UT, Anderson VM, Handmaker SD. Cephalothoracopagus janiceps malformation. A contribution, to the pathogenesis of cerebral malformation. Arch Neurol 1981; 38: 103-108
  • 5. Wedberg R, Kaplan C, Leopold G, Porreco R, Resnik R, Benirschke K. Cephalothoracopagus (Janiceps) twinning. Obstet Gynecol 1979; 54: 392-396
  • 6. Nolan R, Ling F, Langlotz H, Fletcher A. Cephalothoracopagus janiceps disymmetros twinning. J Ultrasound Med 1990; 9: 593-598
  • 7. Machin GA, Sperber GH. Invited editorial comment: lessons from conjoined twins. Am J Med Genet 1987; 28: 89-97
  • 8. Sperber GH, Machin GA. Microscopic study of midline determinants in janiceps twins. Birth Defects: Original Article Series 1987; 23:243-275
  • 9. Chen CP, Lee CC, Liu FF, Jan SW, Lin MH, Chen BF. Prenatal diagnosis of cephalothoracopagus janiceps monosymmetros. Short communication. Prenat Diagn 1997; 17(4):384-8
  • 10. Spencer R. Conjoined twins. Developmental malformations and clinical implications. Baltimore, London: John Hopkins University Press; 2003
  • 11. Taruffı C. Storia della Teratologia. Parte Seconda. Bologna: Regio Tipografia; 1882
  • 12. Hovorakova M, Peterkova R, Likovsky M. A case of conjoined twin '81fs cephalothoracopagus janiceps disymmetros. Reprod Toxicol 2008
  • 13. Khanna PC, Pungavkar S A, Pat kar DP. Ultrafast Magnetic Resonance imaging of cephalothoracopagus Janiceps disymmetros. J Postgrad Med 2005;51:228-9
  • 14. Chen CP, Shih JC, Shih SL, Huang JK, Huang JP, Lin YH, et al. Prenatal diagnosis of cephalothoracopagus janiceps disymmetros using three-dimensional power Doppler ultrasound andmagnetic resonance imaging. Ultrasound Obstet Gynecol 2003;22:299-304
  • 15. Kuroda K, Kamei Y, Kozuma S, Kikuchi A, Fujii T, Unno N, et al. Prenatal evaluation of cephalopagus conjoined twins by means of threedimensional ultrasound at 13 weeks of pregnancy. Ultrasound Obstet Gynecol 2000;16:264-6
  • 16. Biswas A, ChiaD, WongYC. Three-dimensional sonographic diagnosis of cephalothoracopagus janiceps twins at 13 weeks. Ultrasound Obstet Gynecol 2001; 18: 289-290
  • 17. Pajkrt E, Jauniaux E. First trimester diagnosis of conjoined twins. Prenat Diagn 2005; 25: 820- 826
  • 18. Weiss JL, Devine PC. False positive diagnosis of conjoined twins in the first trimester. Ultrasound Obstet Gynecol 2002; 20: 516-521
  • 19. Kokcu A., Cetinkaya M.B. , Aydın O, Tosun M. Conjoined twins: Historical perspective and report of a case. The Journal of Maternal Fetal and Neonatal Medicine, April 2007; 20: 349 -356

Sefalotoralcofagus : Olgu sunumu

Year 2010, Volume: 41 Issue: 1, 43 - 46, 01.02.2010

Oya Demirci Erbil Çakar Elif Demirci Semih Tuğrul Oya Pekin Mehmet Uludoğan

Abstract

Çalışmamızda 15. haftada iki boyutlu ultrasonografı ile tanı konulmuş oldukça nadir görülen bir birleşik fetus vakası sunulmuştur. Bu olgu sunumunda zıt yönlere bakan belirgin ve simetrik iki yüzü olan, cinsiyeti erkek olan sefalotorakofagus olarak adlandırılan birleşik fetus vakasının öyküsü ve klinik özellikleri anlatılmıştır. Bu gibi yaşama şansı olmayan anomalili fetusların erken gebelik haftalarında tanınması hasta yakınlarına terminasyon seçeneğinin erken haftalarda sunulmasını sağlayarak anneleri gereksiz operasyonlardan koruyacaktır.

Keywords

-

References

  • 1. Machin GA, Keith LG, Bamforth F. An Atlas of Multiple pregnancy: Biology and Pathology. Parthenon Publishers: New York 2. Edmonds LD, Layde PM. 1982. Conjoined twins in the United states, 1970-1977, Teratology 25:301- 308
  • 3.Spitz L, KielyEM. 2003. Conjoined twins. JAMA 289:1307-1310
  • 4. Slager UT, Anderson VM, Handmaker SD. Cephalothoracopagus janiceps malformation. A contribution, to the pathogenesis of cerebral malformation. Arch Neurol 1981; 38: 103-108
  • 5. Wedberg R, Kaplan C, Leopold G, Porreco R, Resnik R, Benirschke K. Cephalothoracopagus (Janiceps) twinning. Obstet Gynecol 1979; 54: 392-396
  • 6. Nolan R, Ling F, Langlotz H, Fletcher A. Cephalothoracopagus janiceps disymmetros twinning. J Ultrasound Med 1990; 9: 593-598
  • 7. Machin GA, Sperber GH. Invited editorial comment: lessons from conjoined twins. Am J Med Genet 1987; 28: 89-97
  • 8. Sperber GH, Machin GA. Microscopic study of midline determinants in janiceps twins. Birth Defects: Original Article Series 1987; 23:243-275
  • 9. Chen CP, Lee CC, Liu FF, Jan SW, Lin MH, Chen BF. Prenatal diagnosis of cephalothoracopagus janiceps monosymmetros. Short communication. Prenat Diagn 1997; 17(4):384-8
  • 10. Spencer R. Conjoined twins. Developmental malformations and clinical implications. Baltimore, London: John Hopkins University Press; 2003
  • 11. Taruffı C. Storia della Teratologia. Parte Seconda. Bologna: Regio Tipografia; 1882
  • 12. Hovorakova M, Peterkova R, Likovsky M. A case of conjoined twin '81fs cephalothoracopagus janiceps disymmetros. Reprod Toxicol 2008
  • 13. Khanna PC, Pungavkar S A, Pat kar DP. Ultrafast Magnetic Resonance imaging of cephalothoracopagus Janiceps disymmetros. J Postgrad Med 2005;51:228-9
  • 14. Chen CP, Shih JC, Shih SL, Huang JK, Huang JP, Lin YH, et al. Prenatal diagnosis of cephalothoracopagus janiceps disymmetros using three-dimensional power Doppler ultrasound andmagnetic resonance imaging. Ultrasound Obstet Gynecol 2003;22:299-304
  • 15. Kuroda K, Kamei Y, Kozuma S, Kikuchi A, Fujii T, Unno N, et al. Prenatal evaluation of cephalopagus conjoined twins by means of threedimensional ultrasound at 13 weeks of pregnancy. Ultrasound Obstet Gynecol 2000;16:264-6
  • 16. Biswas A, ChiaD, WongYC. Three-dimensional sonographic diagnosis of cephalothoracopagus janiceps twins at 13 weeks. Ultrasound Obstet Gynecol 2001; 18: 289-290
  • 17. Pajkrt E, Jauniaux E. First trimester diagnosis of conjoined twins. Prenat Diagn 2005; 25: 820- 826
  • 18. Weiss JL, Devine PC. False positive diagnosis of conjoined twins in the first trimester. Ultrasound Obstet Gynecol 2002; 20: 516-521
  • 19. Kokcu A., Cetinkaya M.B. , Aydın O, Tosun M. Conjoined twins: Historical perspective and report of a case. The Journal of Maternal Fetal and Neonatal Medicine, April 2007; 20: 349 -356
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Oya Demirci This is me

Erbil Çakar This is me

Elif Demirci This is me

Semih Tuğrul This is me

Oya Pekin This is me

Mehmet Uludoğan This is me

Publication Date February 1, 2010
Published in Issue Year 2010 Volume: 41 Issue: 1

Cite

APA Demirci, O., Çakar, E., Demirci, E., Tuğrul, S., et al. (2010). Sefalotoralcofagus : Olgu sunumu. Zeynep Kamil Tıp Bülteni, 41(1), 43-46. https://doi.org/10.16948/zktb.09869
AMA Demirci O, Çakar E, Demirci E, Tuğrul S, Pekin O, Uludoğan M. Sefalotoralcofagus : Olgu sunumu. Zeynep Kamil Tıp Bülteni. February 2010;41(1):43-46. doi:10.16948/zktb.09869
Chicago Demirci, Oya, Erbil Çakar, Elif Demirci, Semih Tuğrul, Oya Pekin, and Mehmet Uludoğan. “Sefalotoralcofagus : Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 41, no. 1 (February 2010): 43-46. https://doi.org/10.16948/zktb.09869.
EndNote Demirci O, Çakar E, Demirci E, Tuğrul S, Pekin O, Uludoğan M (February 1, 2010) Sefalotoralcofagus : Olgu sunumu. Zeynep Kamil Tıp Bülteni 41 1 43–46.
IEEE O. Demirci, E. Çakar, E. Demirci, S. Tuğrul, O. Pekin, and M. Uludoğan, “Sefalotoralcofagus : Olgu sunumu”, Zeynep Kamil Tıp Bülteni, vol. 41, no. 1, pp. 43–46, 2010, doi: 10.16948/zktb.09869.
ISNAD Demirci, Oya et al. “Sefalotoralcofagus : Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 41/1 (February 2010), 43-46. https://doi.org/10.16948/zktb.09869.
JAMA Demirci O, Çakar E, Demirci E, Tuğrul S, Pekin O, Uludoğan M. Sefalotoralcofagus : Olgu sunumu. Zeynep Kamil Tıp Bülteni. 2010;41:43–46.
MLA Demirci, Oya et al. “Sefalotoralcofagus : Olgu Sunumu”. Zeynep Kamil Tıp Bülteni, vol. 41, no. 1, 2010, pp. 43-46, doi:10.16948/zktb.09869.
Vancouver Demirci O, Çakar E, Demirci E, Tuğrul S, Pekin O, Uludoğan M. Sefalotoralcofagus : Olgu sunumu. Zeynep Kamil Tıp Bülteni. 2010;41(1):43-6.