Conjoined twins in a triplet pregnancy. A rare obstetrical dilemma

Huseyin C. Ozcan, Mete G. Ugur, Aynur Mustafa, Irfan Kutlar

Abstract


Conjoined twins are derived from division of a single fertilized ovum after the twelfth day of fertilization. Triplet conjoined twin is considered as a unique phenomenon that is accompanied with a wide variety of congenital abnormalities and also hazardous consequences for both fetuses and parents. We present an extremely rare case of conjoined twins in a triplet pregnancy with symmetric thoracoomphalopagus that was diagnosed in prenatal period by using ultrasound scanning and MRI. In triplet pregnancies, we should be aware about the possibility of conjoined twins. If there are severe congenital malformations, termination of pregnancy should be recommended immediately after the diagnosis regardless of gestational age, particularly in early gestational age.

 

Saudi Med J 2017; Vol. 38 (3): 307-309
doi: 10.15537/smj.2017.3.16103


How to cite this article:

Ozcan HC, Ugur MG, Mustafa A, Kutlar I. Conjoined twins in a triplet pregnancy. A rare obstetrical dilemma. Saudi Med J. 2017 Mar;38(3):307-309. doi: 10.15537/smj.2017.3.16103.




Keywords


Conjoined; Triplet;Malformation

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References


Sebire NJ, Sepulveda W, Jeanty P, Nyberg DA, Nicolaides KH. Multiple gestations. In: Nyberg DA, McGahan JP, Pretorius DH, Pilu G, editors. Diagnostic imaging of fetal anomalies. Philadelphia (PA): Lippincott Williams & Wilkins: 2003; p. 777-813.

Sepulveda W, Munoz H, Alcalde JL. Conjoined twins in a triplet pregnancy: early prenatal diagnosis with three-dimensional ultrasound and review of the literature. Ultrasound Obstet Gynecol 2003; 22: 199-204.

Suzuki S, Omura H, Takeuchi T. Prenatal diagnosis of conjoined twins during early gestation. Nihon Ika Daigaku Igakkai Zasshi 2005; 1: 117-120.

Harma M, Harma M, Mil Z, Oksuzler C. Vaginal delivery of dicephalic parapagus conjoined twins: Case report and literature review. Tohoku J Exp Med 2005; 205: 179-185.

Chiabi A, Nkemayim D, Tchokoteu PF, Guegang EG, Ndeki N N, Minkande JZ, et al. Conjoined twins in Cameroon: Issues inherent in diagnosis and management in the African context. Afr J Reprod Health 2009; 13: 127-135.

Öksüzoğlu A, Moraloğlu O, Aktulay A, Engin-Üstün Y, Çelen S, Mollamahmutoğlu L. Conjoined twins: A case report of thoraco-omphalopagus. Surgical Science Journal 2011; 64: 141-143.

Evans MI, Goldberg JD, Horenstein J, Wapner RJ, Ayoub MA, Stone J, et al. Selective termination for structural, chromosomal, and mendelian anomalies: international experience. Am J Obstet Gynecol 1999; 181: 893-897.

Takae S, Izuchi S, Murayama K, Kondo H, Kobayashi Y, Ishizuka B. Two cases of pregnancy involving conjoined twins, with details of management after opting for live birth. J Obstet Gynaecol Res 2011; 37: 1478-1483.

Browd SR, Goodrich JT, Walker ML. Craniopagus twins. J Neurosurg Pediatr 2008; 1: 1-20.

Ogutu D, Anastasakis E, Chi C, Kadir RA. First trimester diagnosis of conjoint (pygopagus) twins: A case report of successful prenatal and postnatal management. J Obstet Gynaecol 2008; 28: 340-342.


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