Öz
Parapagus dicephalus conjoined twins are rare but severe complication of multigestational pregnancies. Many conjoined twin pregnancies are diagnosed before reaching viability. We present a case report of conjoined twins reached term. A 35-year-old pregnant woman, who had no prenatal follow up, delivered conjoined twins at Van Maternity Hospital. The total weight of the fetuses was 4750 g. and they could be alive without advance support. Conjoined fetuses can be detected on prenatal screening and ultrasound. This case reinforces the importance of prenatal follow up.
Anahtar Kelimeler
Kaynakça
- Hanson JW. Incidence of conjoined twinning. Lancet 1975; 2: 125
- Edmonds LD, Layde PM. Conjoined twins in the United States 1970- Teratology 1982; 25: 301-8.
- Spencer R. Theoretical and analytical embryology of conjoined twins: part I: embryogenesis. Clin Anat 2000; 13: 36-5
- Machin GA, Keith LG, Bamforth F. An atlas of multiple pregnancy: biology and pathology. CRC Press, Parthenon Publishers, New York 1999.
- Taruffi C. Storia della teratologica, vol. 2. Bologna: Regia Tipografia 1882; 572-8.
- Levin M, Roberts DJ, Holmes LB, Tabin C. Laterality defects in conjoined twins. Nature 1996; 384: 321.
- Crane JP. Sonographic evaluation of multiple pregnancy. Semin Ultrasound CT MR 1984; 5: 144.
- Spencer R. Minimally united ischiopagus twins: infraumbilical union with cloacal anomalies. J Pediatr Surg 1996; 31: 1538
- Charles A, Dickinson JE, Watson S, Phillips N, Yovich J. Diamniotic conjoined fetuses in a triplet pregnancy: An insight in to embryonic topology. Pediatr Dev Pathol 2005; 8: 666-72. Kapur RP, Jack RM, Siebert JR. Diamniotic placentation associated with omphalopagus conjoined twins: Implications for a contemporary model of conjoined twinning. Am J Med Genet 1994; 52: 188-95.
- Spencer R. Anatomic description of conjoined twins: a plea for standardized terminology. J Pediatr Surg 1996; 31: 941-4.
Öz
Parapagus dicephalus yapışık ikizler çoğul gebeliklerin nadir fakat ciddi komplikasyonlarıdır. Yapışık ikizlerin birçoğuna yaşayabilir büyüklüğe erişmeden tanı konulmaktadır. Biz miadına kadar erişmiş bir vakayı sunmak istiyoruz. Otuzbeş yaşında prenatal takibi olmayan gebe Van Doğumevi' nde yapışık ikiz doğurmuştur. Fetusların toplam ağırlığı 4750 gramdır ve ciddi bir yaşam desteği sağlanmadan hayatta kalmışlardır. Yapışık ikizler prenatal tarama ve ultrasonla tespit edilebilmektedir. Bu olgu prenatal değerlendirmenin önemini desteklemektedir.
Anahtar Kelimeler
Kaynakça
- Hanson JW. Incidence of conjoined twinning. Lancet 1975; 2: 125
- Edmonds LD, Layde PM. Conjoined twins in the United States 1970- Teratology 1982; 25: 301-8.
- Spencer R. Theoretical and analytical embryology of conjoined twins: part I: embryogenesis. Clin Anat 2000; 13: 36-5
- Machin GA, Keith LG, Bamforth F. An atlas of multiple pregnancy: biology and pathology. CRC Press, Parthenon Publishers, New York 1999.
- Taruffi C. Storia della teratologica, vol. 2. Bologna: Regia Tipografia 1882; 572-8.
- Levin M, Roberts DJ, Holmes LB, Tabin C. Laterality defects in conjoined twins. Nature 1996; 384: 321.
- Crane JP. Sonographic evaluation of multiple pregnancy. Semin Ultrasound CT MR 1984; 5: 144.
- Spencer R. Minimally united ischiopagus twins: infraumbilical union with cloacal anomalies. J Pediatr Surg 1996; 31: 1538
- Charles A, Dickinson JE, Watson S, Phillips N, Yovich J. Diamniotic conjoined fetuses in a triplet pregnancy: An insight in to embryonic topology. Pediatr Dev Pathol 2005; 8: 666-72. Kapur RP, Jack RM, Siebert JR. Diamniotic placentation associated with omphalopagus conjoined twins: Implications for a contemporary model of conjoined twinning. Am J Med Genet 1994; 52: 188-95.
- Spencer R. Anatomic description of conjoined twins: a plea for standardized terminology. J Pediatr Surg 1996; 31: 941-4.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 18 Sayı: 3 |