Conjoined Twins Complicating a Dichorionic Triplet Pregnancy after Intracytoplasmic Sperm Injection: A Case Report and Review of the Literature
Conjoined twins represent a rare type of monoamniotic twins. Ultrasound assessment during the first trimester can facilitate the diagnosis, however further assessment by colour Doppler studies, 3D imaging, fetal echocardiography and fetal magnetic resonance imaging (MRI) is usually required in order...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-10-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/9/10/1549 |
| _version_ | 1797474164357988352 |
|---|---|
| author | Anna Eleftheriades Panagiotis Christopoulos Elsa Tsapakis Ermioni Tsarna Nikolaos F. Vlahos Emmanouil Kalampokas Daniele Bolla Makarios Eleftheriades |
| author_facet | Anna Eleftheriades Panagiotis Christopoulos Elsa Tsapakis Ermioni Tsarna Nikolaos F. Vlahos Emmanouil Kalampokas Daniele Bolla Makarios Eleftheriades |
| author_sort | Anna Eleftheriades |
| collection | DOAJ |
| description | Conjoined twins represent a rare type of monoamniotic twins. Ultrasound assessment during the first trimester can facilitate the diagnosis, however further assessment by colour Doppler studies, 3D imaging, fetal echocardiography and fetal magnetic resonance imaging (MRI) is usually required in order to determine the specific fetal abnormalities and to guide appropriate pregnancy management. This case report presents a rare case of conjoined twins complicating a dichorionic-diamniotic triplet pregnancy, achieved after intracytoplasmic sperm injection (ICSI) and blastocyst transfer. A 44-year-old woman was referred for chorionicity determination to our Fetal Medicine Centre due to suspicion of conjoined twins in a triplet pregnancy. Ultrasound assessment at 11 weeks demonstrated a dichorionic triplet pregnancy which was also complicated by a rare type of conjoined twins (thoracoomphalopagus) and after a successful embryo reduction a neonate of 2200 g was delivered by caesarean section at term. The accurate diagnosis and early detection of conjoined twins by a fetal medicine specialist is crucial, especially as far as multiple pregnancies with three or more fetuses are concerned. |
| first_indexed | 2024-03-09T20:27:16Z |
| format | Article |
| id | doaj.art-785c88c5b1ab46eea43579b658ce2933 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T20:27:16Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-785c88c5b1ab46eea43579b658ce29332023-11-23T23:32:46ZengMDPI AGChildren2227-90672022-10-01910154910.3390/children9101549Conjoined Twins Complicating a Dichorionic Triplet Pregnancy after Intracytoplasmic Sperm Injection: A Case Report and Review of the LiteratureAnna Eleftheriades0Panagiotis Christopoulos1Elsa Tsapakis2Ermioni Tsarna3Nikolaos F. Vlahos4Emmanouil Kalampokas5Daniele Bolla6Makarios Eleftheriades7Postgraduate Programme “Fetal Maternal Medicine’’, Medical School, National and Kapodistrian University of Athens, 11527 Athens, GreeceSecond Department of Obstetrics and Gynaecology, “Aretaieion’’ University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceSecond Department of Obstetrics and Gynaecology, “Aretaieion’’ University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceSecond Department of Obstetrics and Gynaecology, “Aretaieion’’ University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceSecond Department of Obstetrics and Gynaecology, “Aretaieion’’ University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceSecond Department of Obstetrics and Gynaecology, “Aretaieion’’ University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceDepartment of Obstetrics and Gynaecology, Hospital of Langenthal—Region Oberaargau, 4900 Langenthal, SwitzerlandSecond Department of Obstetrics and Gynaecology, “Aretaieion’’ University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceConjoined twins represent a rare type of monoamniotic twins. Ultrasound assessment during the first trimester can facilitate the diagnosis, however further assessment by colour Doppler studies, 3D imaging, fetal echocardiography and fetal magnetic resonance imaging (MRI) is usually required in order to determine the specific fetal abnormalities and to guide appropriate pregnancy management. This case report presents a rare case of conjoined twins complicating a dichorionic-diamniotic triplet pregnancy, achieved after intracytoplasmic sperm injection (ICSI) and blastocyst transfer. A 44-year-old woman was referred for chorionicity determination to our Fetal Medicine Centre due to suspicion of conjoined twins in a triplet pregnancy. Ultrasound assessment at 11 weeks demonstrated a dichorionic triplet pregnancy which was also complicated by a rare type of conjoined twins (thoracoomphalopagus) and after a successful embryo reduction a neonate of 2200 g was delivered by caesarean section at term. The accurate diagnosis and early detection of conjoined twins by a fetal medicine specialist is crucial, especially as far as multiple pregnancies with three or more fetuses are concerned.https://www.mdpi.com/2227-9067/9/10/1549conjoinedtwinstriplet pregnancyICSIultrasound |
| spellingShingle | Anna Eleftheriades Panagiotis Christopoulos Elsa Tsapakis Ermioni Tsarna Nikolaos F. Vlahos Emmanouil Kalampokas Daniele Bolla Makarios Eleftheriades Conjoined Twins Complicating a Dichorionic Triplet Pregnancy after Intracytoplasmic Sperm Injection: A Case Report and Review of the Literature Children conjoined twins triplet pregnancy ICSI ultrasound |
| title | Conjoined Twins Complicating a Dichorionic Triplet Pregnancy after Intracytoplasmic Sperm Injection: A Case Report and Review of the Literature |
| title_full | Conjoined Twins Complicating a Dichorionic Triplet Pregnancy after Intracytoplasmic Sperm Injection: A Case Report and Review of the Literature |
| title_fullStr | Conjoined Twins Complicating a Dichorionic Triplet Pregnancy after Intracytoplasmic Sperm Injection: A Case Report and Review of the Literature |
| title_full_unstemmed | Conjoined Twins Complicating a Dichorionic Triplet Pregnancy after Intracytoplasmic Sperm Injection: A Case Report and Review of the Literature |
| title_short | Conjoined Twins Complicating a Dichorionic Triplet Pregnancy after Intracytoplasmic Sperm Injection: A Case Report and Review of the Literature |
| title_sort | conjoined twins complicating a dichorionic triplet pregnancy after intracytoplasmic sperm injection a case report and review of the literature |
| topic | conjoined twins triplet pregnancy ICSI ultrasound |
| url | https://www.mdpi.com/2227-9067/9/10/1549 |
| work_keys_str_mv | AT annaeleftheriades conjoinedtwinscomplicatingadichorionictripletpregnancyafterintracytoplasmicsperminjectionacasereportandreviewoftheliterature AT panagiotischristopoulos conjoinedtwinscomplicatingadichorionictripletpregnancyafterintracytoplasmicsperminjectionacasereportandreviewoftheliterature AT elsatsapakis conjoinedtwinscomplicatingadichorionictripletpregnancyafterintracytoplasmicsperminjectionacasereportandreviewoftheliterature AT ermionitsarna conjoinedtwinscomplicatingadichorionictripletpregnancyafterintracytoplasmicsperminjectionacasereportandreviewoftheliterature AT nikolaosfvlahos conjoinedtwinscomplicatingadichorionictripletpregnancyafterintracytoplasmicsperminjectionacasereportandreviewoftheliterature AT emmanouilkalampokas conjoinedtwinscomplicatingadichorionictripletpregnancyafterintracytoplasmicsperminjectionacasereportandreviewoftheliterature AT danielebolla conjoinedtwinscomplicatingadichorionictripletpregnancyafterintracytoplasmicsperminjectionacasereportandreviewoftheliterature AT makarioseleftheriades conjoinedtwinscomplicatingadichorionictripletpregnancyafterintracytoplasmicsperminjectionacasereportandreviewoftheliterature |