Olgu Sunumu

Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period

Cilt: 59 Sayı: 4 30 Aralık 2020
Ege Tıp Dergisi Kapak
Ege Tıp Dergisi
PDF İndir
EN TR

Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period

Abstract

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 embrionic 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

Keywords

Kaynakça

  1. Hortu İ, Ergenoğlu AM, Yeniel AO, Özçeltik G. Neural Tube Defect with Parasitic Rachipagus Twin (Heteropagus): Case Report Turkiye Klinikleri J Gynecol Obst 2016; 26 (3): 189-92.
  2. Sabih D, Ahmad E, Sabih A, Sabih Q. Ultrasound diagnosis of cephalopagus conjoined twin pregnancy at 29 weeks. Biomedical Imaging and Intervention Journal 2010; 6 (4): e38.
  3. McHugh K, Kiely EM, Spitz L. Imaging of conjoined twins. Pediatric Radiology 2006; 36: 899–910.
  4. Mete A, Cebesoy FB, Bayram M, Kutlar İ. Ultrafast magnetic resonance imaging of omphalopagus conjoined twins. Gaziantep Medical Journal 2011; 17 (2): 103-4.
  5. Kingston C, McHugh K, Kumaradevan J, Kiely E, Spitz L. Imaging in the Preoperative Assessment of Conjoined Twins. RadioGraphics 2001; 21:1187–208.
  6. Abdullah H, Wahab NA, Abu Bakar K. Fetal MRI of thoraco-omphalopagus conjoined twins. BMJ Case Rep 2017; Jun 13 doi: 10.1136/bcr-2017-219793.
  7. Fagan CJ. Antepartum diagnosis of conjoined twins by ultrasonography. American Journal of Roentgenology 1977; 129 (5): 921-2.
  8. Taner MZ, Kurdoglu M, Taskiran C, Kurdoglu Z, Himmetoglu O, Balci S. Early prenatal diagnosis of conjoined twins at 7 weeks and 6 days’ gestation with two-dimensional Doppler ultrasound: a case report. Cases Journal 2009; 2: 7.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Olgu Sunumu

Yazarlar

Yayımlanma Tarihi

30 Aralık 2020

Gönderilme Tarihi

16 Ağustos 2020

Kabul Tarihi

8 Ekim 2020

Yayımlandığı Sayı

Yıl 2020 Cilt: 59 Sayı: 4

DOI

https://doi.org/10.19161/etd.833785

IZ

https://izlik.org/JA82YD33NK

Kaynak Göster

RIS / Bibtex
Vancouver
1.Turgay Kara, Halil İbrahim Şara, Fatih Ateş, Sibel Özler, Mehmet Sedat Durmaz. Presentation of ultrasound and magnetic resonance imaging findings of omphalopagus conjoined twins in the intrauterine and postpartum period. ETD. 01 Aralık 2020;59(4):320-3. doi:10.19161/etd.833785

Ege Tıp Dergisi, makalelerin Atıf-Gayri Ticari-Aynı Lisansla Paylaş 4.0 Uluslararası (CC BY-NC-SA 4.0) lisansına uygun bir şekilde paylaşılmasına izin verir.