Document Detail

Vaginal delivery of dicephalic parapagus conjoined twins: case report and literature review.
MedLine Citation:
PMID:  15673976     Owner:  NLM     Status:  MEDLINE    
After an unsuccessful midwife-assisted delivery in which a head was born but delivery could not be advanced, episiotomy performed at Sanliurfa Maternity Hospital allowed vaginal delivery of female conjoined twins. Visual and x-ray examination showed two heads, two vertebral columns, two feet, two arms, and fusion at the level of the pelvis. The baby was born dead, but the mother made an uneventful recovery. Parapagus (anterolaterally joined) dicephalus (two-headed) twins account for only 11-13% of all conjoined twins, and they rarely survive. Complex malformations of hearts, lungs and abdominal organs, duplication of the tracheae, upper gastrointestinal tract and spinal column, and either double or single versions of other organs have been reported in parapagus dicephalus cases. The incidence, anatomical, embryological, diagnostic, prognostic, obstetrical, perinatal, and ethical aspects of conjoined twins are reviewed, with a focus on parapagus dicephalus conjoined twins.
Mehmet Harma; Muge Harma; Zeki Mil; Cevdet Oksuzler
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Publication Detail:
Type:  Case Reports; Journal Article; Review; Twin Study    
Journal Detail:
Title:  The Tohoku journal of experimental medicine     Volume:  205     ISSN:  0040-8727     ISO Abbreviation:  Tohoku J. Exp. Med.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-01-27     Completed Date:  2005-05-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0417355     Medline TA:  Tohoku J Exp Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  179-85     Citation Subset:  IM    
Department of Gynecology and Obstetrics, University of Harran, Faculty of Medicine, Sanliurfa, Turkey.
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MeSH Terms
Delivery, Obstetric*
Fatal Outcome
Infant, Newborn
Natural Childbirth
Twins, Conjoined / pathology*

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