Document Detail


Utilization of magnetic resonance imaging in autopsy planning with specimen preservation for thoraco-omphalopagus symmetricus conjoined twins.
MedLine Citation:
PMID:  9802185     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Conjoined twinning is a rare obstetric event that has fascinated physicians and laypersons alike for centuries. When this event occurs, early diagnosis, close prenatal management, and the proper route of delivery will assure the best possible outcome for mother and affected infants. Magnetic resonance imaging (MRI) is used both as an ancillary technique to the sonography for the antepartum diagnosis and in the preoperative planning for the surgical separation of conjoined twins. This report describes the MRI findings in conjoined twins of the thoraco-omphalopagus symmetricus type, a condition incompatible with extrauterine life. The twins were delivered at 21 weeks gestation. The MRI was used to evaluate the anatomic nature of the internal anomalies. These findings were then used to develop an autopsy approach plan that preserved the external phenotype. After dissection, the specimen was preserved by using polyethylene glycol and ultimately prepared for use as a teaching specimen.
Authors:
C Sergi; A Dörfler; F Albrecht; J Klapp; O Jansen; K Sartor; H F Otto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Teratology     Volume:  58     ISSN:  0040-3709     ISO Abbreviation:  Teratology     Publication Date:    1998 Sep-Oct
Date Detail:
Created Date:  1999-01-07     Completed Date:  1999-01-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0153257     Medline TA:  Teratology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  71-5     Citation Subset:  IM    
Affiliation:
Pathologisches Institut, Universität Heidelberg, Germany. Consolato_Sergi@ukl.uni-heidelberg.de
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MeSH Terms
Descriptor/Qualifier:
Autopsy
Female
Fetus / radiography*
Humans
Magnetic Resonance Imaging
Pregnancy
Thorax / abnormalities*
Twins, Conjoined*
Umbilicus / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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