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Conjoined twins: what ultrasound may add to management.
MedLine Citation:
PMID:  22905303     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Conjoined twins occur in approximately 0.2:10,000 births; the obstetrician and sonographer only rarely examine them. In Western countries, discovery of conjoined twins is often made by the end of the first trimester; however, in the third world, conjoined twins are often discovered only at birth.
OBJECTIVE: To evaluate how ultrasound techniques, when possibly available, may improve management and counseling when conjoined twins are confirmed.
MATERIAL AND METHODS: The authors report two different cases of union of two equal twins with sole umbilical cord.
RESULTS: The two cases presented with non contributive medical history and no prior teratogen exposure and an unfavorable prognosis. Early discovery of viable conjoined twins permits assessment of the best route of delivery and a planning for serial sonography and fast MRI to plan eventual separation surgery or fetus after-birth surviving possibilities.
Authors:
Fabrice Cuillier; Kathleen Comalli Dillon; Frantisek Grochal; Jean Michel Scemama; Thierry Gervais; Albana Cerekja; Juan Piazze
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of prenatal medicine     Volume:  6     ISSN:  1971-3290     ISO Abbreviation:  J Prenat Med     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-08-20     Completed Date:  2012-08-23     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101522906     Medline TA:  J Prenat Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  4-6     Citation Subset:  -    
Affiliation:
Obstetrician/Gynecologist, Department of Gynecology, Felix Guyon Hospital, Ile de la Reunion, France.
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