Year 2020, Volume 59 , Issue 4, Pages 320 - 323 2020-12-30

Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period
Omfalopagus yapışık ikizlerin intrauterin ve postpartum dönem ultrasonografi ve manyetik rezonans görüntüleme bulgularının sunumu

Turgay KARA [1] , Halil İbrahim ŞARA [2] , Fatih ATEŞ [3] , Sibel ÖZLER [4] , Mehmet Sedat DURMAZ [5]


Conjoined twins are extremely rare congenital malformations. Any associated genetic, environmental or demographic factors have not been identified. The phenomenon occurs between the 13th and 15th day after fertilization due to failure in splitting of embryonic axis. Twins are classified according to the major site of union, with the suffix pagus meaning fixed or fastened. Omphalopagus twins are the second most common variety of conjoined twins and usually are joined at the umbilicus. A 31-year-old pregnant female admitted for routine gestational control. Obstetric ultrasound (US) revealed two fetuses which were adherent from abdominal region. Their livers were fused however other organs were separated. Hepatic veins and portal veins were separated in both fetuses on color Doppler evaluation. Fetal magnetic resonance imaging (MRI) confirmed the diagnosis as omphalopagus conjoined twins. Twins were successfully delivered by cesarean section at 34th gestational week. Herein, US and MRI features of this rare anomaly in intrauterine and postpartum period are presented.
Yapışık ikizlik oldukça nadir görülen konjenital malformasyonlardandır. Oluşmasında herhangi bir genetik, çevresel veya demografik faktör tanımlanmamıştır. Bu fenomen fertilizasyondan sonraki 13. ve 15. günler arasındaki embriyonel bölünmedeki yetersizlik sonucu meydana gelir. İkizler, ana kaynaşma bölgesine sabit veya bağlanmış anlamına gelen pagus son ekinin eklenmesiyle adlandırılır ve sınıflandırılırlar. Omfalopagus ikizleri, yapışık ikizlerin en yaygın ikinci çeşididir ve genellikle karın bölgesinden birleşiktirler. Olgumuzda 31 yaşındaki hamile bir kadın 22. gebelik haftasında rutin gebelik kontrolü için başvurdu. Obstetrik ultrason (US)görüntülemede karın bölgesinden yapışık iki fetüs tespit edildi. Karaciğerleri birleşmiş ancak diğer organları ayrı görünümdeydi. Renkli Doppler incelemede her iki fetüsün hepatik venleri ve portal venleri ayrı olarak izlendi. İkizler 34. gebelik haftasında sezaryen ile başarıyla doğurtuldu. Bu olgu sunumunda, bu nadir anomalinin intrauterin ve postpartum dönemdeki US ve MRG özellikleri sunulmuş ve literatüre katkı sağlamak amaçlanmıştır.
Twins, conjoined;, ultrasonography,, prenatal; MRI.
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Author: Turgay KARA (Primary Author)
Institution: Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Radiology, Kahramanmaras
Country: Turkey


Orcid: 0000-0001-9075-9237
Author: Halil İbrahim ŞARA
Institution: Health Sciences University, Ankara Dr. Abdurrahman Yurtaslan Oncology Health Application and Research Center, Ankara
Country: Turkey


Orcid: 0000-0002-2693-4616
Author: Fatih ATEŞ
Institution: Selcuk University Faculty of Medicine, Department of Radiology, Konya,
Country: Turkey


Orcid: 0000-0003-4577-8185
Author: Sibel ÖZLER
Institution: Selcuk University Faculty of Medicine, Department of Perinatology, Konya
Country: Turkey


Orcid: 0000-0002-1340-2477
Author: Mehmet Sedat DURMAZ
Institution: Selcuk University Faculty of Medicine, Department of Radiology, Konya
Country: Turkey


Dates

Application Date : August 16, 2020
Acceptance Date : October 8, 2020
Publication Date : December 30, 2020

Bibtex @case report { etd833785, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2020}, volume = {59}, pages = {320 - 323}, doi = {10.19161/etd.833785}, title = {Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period}, key = {cite}, author = {Kara, Turgay and Şara, Halil İbrahim and Ateş, Fatih and Özler, Sibel and Durmaz, Mehmet Sedat} }
APA Kara, T , Şara, H , Ateş, F , Özler, S , Durmaz, M . (2020). Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period . Ege Tıp Dergisi , 59 (4) , 320-323 . DOI: 10.19161/etd.833785
MLA Kara, T , Şara, H , Ateş, F , Özler, S , Durmaz, M . "Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period" . Ege Tıp Dergisi 59 (2020 ): 320-323 <http://egetipdergisi.com.tr/en/pub/issue/58053/833785>
Chicago Kara, T , Şara, H , Ateş, F , Özler, S , Durmaz, M . "Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period". Ege Tıp Dergisi 59 (2020 ): 320-323
RIS TY - JOUR T1 - Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period AU - Turgay Kara , Halil İbrahim Şara , Fatih Ateş , Sibel Özler , Mehmet Sedat Durmaz Y1 - 2020 PY - 2020 N1 - doi: 10.19161/etd.833785 DO - 10.19161/etd.833785 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 320 EP - 323 VL - 59 IS - 4 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.833785 UR - https://doi.org/10.19161/etd.833785 Y2 - 2020 ER -
EndNote %0 Ege Tıp Dergisi Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period %A Turgay Kara , Halil İbrahim Şara , Fatih Ateş , Sibel Özler , Mehmet Sedat Durmaz %T Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period %D 2020 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 59 %N 4 %R doi: 10.19161/etd.833785 %U 10.19161/etd.833785
ISNAD Kara, Turgay , Şara, Halil İbrahim , Ateş, Fatih , Özler, Sibel , Durmaz, Mehmet Sedat . "Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period". Ege Tıp Dergisi 59 / 4 (December 2020): 320-323 . https://doi.org/10.19161/etd.833785
AMA Kara T , Şara H , Ateş F , Özler S , Durmaz M . Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period. ETD. 2020; 59(4): 320-323.
Vancouver Kara T , Şara H , Ateş F , Özler S , Durmaz M . Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period. Ege Tıp Dergisi. 2020; 59(4): 320-323.
IEEE T. Kara , H. Şara , F. Ateş , S. Özler and M. Durmaz , "Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period", Ege Tıp Dergisi, vol. 59, no. 4, pp. 320-323, Dec. 2021, doi:10.19161/etd.833785