Detection by ultrasound of abnormality in twin pregnancies during the second trimester

Neilson, James P; Hood, V.; Cupples, William A.; Gibson, A. A. M.; Ferguson‐Smith, M. A.

doi:10.1111/j.1471-0528.1982.tb04660.x

Cited by 12 publications

(9 citation statements)

References 19 publications

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“…One of our cases has already been mentioned in a study reporting a series of monoamniotic twin pregnancies diagnosed at 11-14 weeks' gestation 7 . In four previous cases reported in the literature, the diagnosis was made in the second trimester and both twins were concordant for the anomaly [2][3][4][5] . The karyotype of the surviving twins was normal, as in all previous reports of body stalk anomaly.…”

Section: Discussionmentioning

confidence: 99%

“…In particular, the presence of this anomaly in monozygotic twins is an extremely unusual condition. To our knowledge, four cases of body stalk anomaly in a twin gestation have been reported so far [2][3][4][5] and in only two of them was the diagnosis made by ultrasound; the others were identified by maternal serum alpha-fetoprotein screening in the second trimester.…”

Section: Introductionmentioning

confidence: 99%

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Monozygotic twins discordant for body stalk anomaly

Nicolaides

2002

Ultrasound in Obstet & Gyne

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We report on two cases of monozygotic twins discordant for body stalk anomaly, diagnosed prenatally in a multicenter ultrasound screening study at 10-14 weeks of gestation. Ultrasound showed a large abdominal wall defect with most of the abdominal contents and almost half of the body in the celomic cavity, in association with severe kyphoscoliosis and a very short umbilical cord. Both pregnancies were managed expectantly and delivered by Cesarean section. The abnormal babies died soon after birth and autopsy confirmed the sonographic diagnosis. Body stalk anomaly in twins is extremely rare. These are, to our knowledge, the first cases reported on monozygotic twins discordant for this anomaly, indicating that the incomplete twinning theory cannot uniformly explain the pathogenesis of the body stalk in twins.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Monozygotic twins discordant for body stalk anomaly

Nicolaides

2002

Ultrasound in Obstet & Gyne

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“…[8] Ultrasound scan is invaluable in the diagnosis of twin pregnancy and its complication. [9] The failure of serial ultrasound scan to detect fetuses papyraceous in the index case has also been reported elsewhere. [1011] This is thought to be due to anatomical position and technical difficulties.…”

Section: Discussionmentioning

confidence: 70%

Twin fetuses papyraeci in a spontaneous triplet pregnancy presenting with unexplained preterm contractions

Bukar

Chama

Bako

et al. 2013

Ann Med Health Sci Res

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Fetus papyracie in a triplet pregnancy is indeed rare and can pose serious management challenges. These challenges are more pronounced where facilities for monitoring are either inadequate or nonexistent. A 39-year-old, grand multipara multipara was referred to the University of Maiduguri Teaching Hospital at 27 weeks gestation with preterm contractions. Materno fetal monitoring did not reveal the cause of the preterm contractions. She was delivered via caesarean section, at 36 weeks of gestation, on account of decreased fetal movement and the products were a live female fetus weighing 2.3 kg and two male papyraceous fetuses weighing 150 g and 130 g, respectively.

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“…Only three cases have been previously reported in the literature (Neilson et al, 1982;Mann et al, 1984;Heitt et al, 1992). The purpose of this paper is to report a case of concordant body stalk anomaly in monozygotic twinning and to discuss the 'early embryo cleavage disorder' in the pathogenesis of this condition.…”

Section: Introductionmentioning

confidence: 88%