The Experts below are selected from a list of 1626 Experts worldwide ranked by ideXlab platform
Eric Jauniaux - One of the best experts on this subject based on the ideXlab platform.
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first trimester diagnosis of Conjoined Twins
Prenatal Diagnosis, 2005Co-Authors: Eva Pajkrt, Eric JauniauxAbstract:Conjoined Twins are a rare and complex complication of monozygotic twinning, which is associated with high perinatal mortality. Early prenatal diagnosis of Conjoined Twins allows better counselling of the parents regarding the management options, including continuation of pregnancy with post-natal surgery, termination of pregnancy or selective fetocide in case of a triplet pregnancy. With the introduction of high-resolution and transvaginal ultrasound imaging, accurate prenatal diagnosis of Conjoined Twins is possible early in pregnancy. We have reviewed the medical literature on the early prenatal diagnosis of suspected Conjoined Twins using a MEDLINE search. Although first-trimester diagnosis of Conjoined Twins is feasible, false-positive cases are common before 10 weeks because, earlier in gestation, fetal movements are limited and monoamniotic Twins may appear Conjoined. As most parents opt for immediate termination of pregnancy at confirmation of the diagnosis, there are limited data on the prenatal follow-up of Conjoined Twins. When the parents opt for conservative management, half of the fetuses die in utero and another 44% will die during the neonatal period. A detailed analysis of case reports where 3D imaging was used indicates that this modality does not improve on the diagnosis made by 2D ultrasound. Overall, very early prenatal diagnosis and first-trimester 3D imaging provide very little additional practical medical information compared to the 11-14 weeks' ultrasound examination.
Režek Tomašić Karolina - One of the best experts on this subject based on the ideXlab platform.
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Successful separation of xypho-omphalopagus Conjoined Twins with extrauterine twin-twin transfusion syndrome: a case report
'Croatian Medical Journals', 2019Co-Authors: Grizelj Ruža, Sindičić Dessardo Nada, Bulić Krešimir, Luetić Tomislav, Mikulić Danko, Antabak Anko, Sjekavica Ivica, Alduk, Ana Marija, Konosić Sanja, Režek Tomašić KarolinaAbstract:Conjoined twining is a rare medical phenomenon, with an overall prevalence of 1.47 per 100 000 births. This report describes a successful separation of xypho-omphalopagus Conjoined Twins complicated by unbalanced blood shunting through the porto-systemic anastomoses within the shared liver parenchyma. Significant extrauterine twin-twin transfusion syndrome caused by unbalanced shunting is an extremely rare, and probably under-recognized, hemodynamic complication in Conjoined Twins necessitating urgent separation. Progressive deterioration with a poor outcome can be prevented if the condition is recognized in a timely manner
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Successful separation of xypho-omphalopagus Conjoined Twins with extrauterine twin-twin transfusion syndrome: a case report
Medicinski fakultet u Zagrebu, 2019Co-Authors: Grizelj Ruža, Sindičić Dessardo Nada, Bulić Krešimir, Luetić Tomislav, Mikulić Danko, Antabak Anko, Sjekavica Ivica, Alduk, Ana Marija, Konosić Sanja, Režek Tomašić KarolinaAbstract:Conjoined twining is a rare medical phenomenon, with an overall prevalence of 1.47 per 100 000 births. This report describes a successful separation of xypho-omphalopagus Conjoined Twins complicated by unbalanced blood shunting through the porto-systemic anastomoses within the shared liver parenchyma. Significant extrauterine twin-twin transfusion syndrome caused by unbalanced shunting is an extremely rare, and probably under-recognized, hemodynamic complication in Conjoined Twins necessitating urgent separation. Progressive deterioration with a poor outcome can be prevented if the condition is recognized in a timely manner
Hong Luo - One of the best experts on this subject based on the ideXlab platform.
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Conjoined Twins in a spontaneous monochorionic triplet pregnancy a case report and literature review
Medicine, 2021Co-Authors: Qianqian Gao, Houqing Pang, Hong LuoAbstract:Rationale Conjoined Twins are a rare complication of monochorionic pregnancies and an extremely rare condition in spontaneous triplet pregnancies. We report a case of Conjoined Twins in a spontaneous monochorionic triplet pregnancy. The Conjoined Twins might have suffered from twin anemia-polycythemia sequence, which was reported to be extremely rare. Patient concerns A 26-year-old woman conceived spontaneously with an obstetric history of invasive mole 4 years ago. Diagnoses We initially misdiagnosed her as having monochorionic triamniotic triplets at 10 weeks of gestation. However, we confirmed conjoint Twins with the monochorionic diamniotic triplet pregnancy at 12 weeks of gestation and classified them as omphalopagus. Interventions As the woman decided to continue the pregnancy, regular and careful antenatal care was conducted. Outcomes Unexpectedly, she had a stillbirth 3 weeks later and had to terminate the pregnancy at 15 weeks of gestation. After abortion, the diagnosis of omphalopagus was confirmed in the induced fetuses. Moreover, the skin colors of the Conjoined Twins were different: one was plethoric, and the other was pale. Additionally, the parents agreed to examine the chromosome of the fetuses, and the results were normal. Conclusion Dichorionic triplet and monochorionic triplet pregnancies have a poorer prognosis than trichorionic triplet pregnancies. Surgery is the main therapy for Conjoined Twins; however, most Conjoined Twins in triplet pregnancies cannot survive, including omphalopagus Twins. The Conjoined Twins may have suffered from twin anemia-polycythemia sequence, which could probably not be diagnosed intrauterine. Transvaginal probe and 3-dimensional ultrasound may be helpful for clarifying the diagnosis in early pregnancy.
Hungfat Tse - One of the best experts on this subject based on the ideXlab platform.
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prenatal sonographic diagnosis of Conjoined Twins in the first trimester two case reports
Ultrasound in Obstetrics & Gynecology, 1998Co-Authors: Yung Hang Lam, Sai Yuen Sin, Christina Lam, C P Lee, Manoi Tang, Hungfat TseAbstract:Conjoined Twins are a rare occurrence. We present two cases of Conjoined Twins diagnosed by ultrasound examination at 8 and 13 weeks' gestation, respectively. These cases demonstrated the possibility of making an accurate diagnosis of Conjoined Twins and delineating the extent of organ sharing in the first trimester.
Mary Hilfiker - One of the best experts on this subject based on the ideXlab platform.
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separation of omphalopagus Conjoined Twins using combined caudal epidural general anesthesia
Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 2001Co-Authors: Mark T Greenberg, David D Frankville, Mary HilfikerAbstract:Purpose To describe the anesthetic management of newborn omphalopagus Conjoined Twins undergoing a series of diagnostic and surgical procedures which culminated in successful separation at one month of age.