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- W2135431023 abstract "A 35-year-old woman was referred for an ultrasound at 12 weeks' gestation. This examination demonstrated conjoined twins—omphalophagus type with a cystic hygroma in one twin. Cystic hygroma until 16 weeks' gestation resolved spontaneously and karyotyping was normal. Twins were joined at the small area between the umbilicus and the diaphragm. Liver was partly fused. The subsequent examination at 20 weeks' gestation was demonstrative of abdominal organs (stomach, bladder, gall-bladder) and vessels (ductus venosous, umbilical artery and vein) separate for each fetus. The rest of the sonographic survey and biometry were normal. Patient decided to continue the pregnancy. Follow-up ultrasound scans at 24 weeks' gestation demonstrated persistent left superior vena cava and at 28 weeks of pregnancy slightly enlarged heart in one fetus. During the next 4 weeks cardiomegaly increased and the fetus started to be hypotrophic. Examination at 32 weeks' gestation showed in this fetus aneurysm of the vein of Galen and ventriculomegaly (both not seen even three days before). C-section was performed at 34 weeks' gestation. Twins weighting 3800 g were born, in a good condition but quickly worsening. Emergency separation surgery revealed that newborns had only one common gut starting just below the duodena. Both babies died at the first day of life. This case shows us the limitations of the ultrasound diagnosis, and that even most hopeful cases of conjoined twins can have fatal outcome. Supporting information can be found in the online version of this abstract. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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- W2135431023 date "2009-09-01" @default.
- W2135431023 modified "2023-10-18" @default.
- W2135431023 title "P26.12: Prenatal diagnosis of the conjoined twins with the vein of Galen aneurysm in one fetus-case report" @default.
- W2135431023 doi "https://doi.org/10.1002/uog.7417" @default.
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