Dicephalus dipus dibrachius twins: report of an autopsy case
Dicephalus dipus dibrachius twins are a rare form of conjoined twins. An autopsy of conjoined dicephalus twins is reported. The diagnosis was performed during the pregnancy and the family received a judicial authorization for termination of pregnancy. The preterm newborn progressed to cardiac arrest...
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Format: | Article |
Language: | English |
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University of São Paulo
2014-06-01
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Series: | Autopsy and Case Reports |
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Online Access: | http://www.revistas.usp.br/autopsy/article/view/82531 |
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author | Cristiano Claudino Oliveira Claudia Aparecida Rainho Maria Aparecida Custódio Domingues |
author_facet | Cristiano Claudino Oliveira Claudia Aparecida Rainho Maria Aparecida Custódio Domingues |
author_sort | Cristiano Claudino Oliveira |
collection | DOAJ |
description | Dicephalus dipus dibrachius twins are a rare form of conjoined twins. An autopsy of conjoined dicephalus twins is reported. The diagnosis was performed during the pregnancy and the family received a judicial authorization for termination of pregnancy. The preterm newborn progressed to cardiac arrest and died following a court order to terminate the pregnancy. The conceptus presented two arms, two legs, a trunk, two heads, and a single umbilical cord. The two spinal columns presented vertebral fusion in the sacral region. The heart exhibited complex malformations. The external genitalia were female; and cytogenetic analysis confirmed female sex (46, XX). This analysis also corroborated the etiopathogenic hypotheses described for this abnormality, which proposes failures in embryonic formation rather than specific chromosomal alterations. Current identification of cases by ultrasound permits medical management and multidisciplinary action with the family, enabling the legal termination of pregnancy. |
first_indexed | 2024-12-11T13:24:10Z |
format | Article |
id | doaj.art-834a8599b4ee4bd3a1cd4cbd89056830 |
institution | Directory Open Access Journal |
issn | 2236-1960 |
language | English |
last_indexed | 2024-12-11T13:24:10Z |
publishDate | 2014-06-01 |
publisher | University of São Paulo |
record_format | Article |
series | Autopsy and Case Reports |
spelling | doaj.art-834a8599b4ee4bd3a1cd4cbd890568302022-12-22T01:05:38ZengUniversity of São PauloAutopsy and Case Reports2236-19602014-06-014210.4322/acr.%y.8253178353Dicephalus dipus dibrachius twins: report of an autopsy caseCristiano Claudino Oliveira0Claudia Aparecida Rainho1Maria Aparecida Custódio Domingues2Department of Pathology – Faculdade de Medicina de Botucatu – Universidade Estadual Paulista Júlio de Mesquita Filho – Botucatu/SPDepartment of Genetics – Instituto de Biociências – Universidade Estadual Paulista Júlio de Mesquita Filho – Botucatu/SPDepartment of Pathology – Faculdade de Medicina de Botucatu – Universidade Estadual Paulista Júlio de Mesquita Filho – Botucatu/SPDicephalus dipus dibrachius twins are a rare form of conjoined twins. An autopsy of conjoined dicephalus twins is reported. The diagnosis was performed during the pregnancy and the family received a judicial authorization for termination of pregnancy. The preterm newborn progressed to cardiac arrest and died following a court order to terminate the pregnancy. The conceptus presented two arms, two legs, a trunk, two heads, and a single umbilical cord. The two spinal columns presented vertebral fusion in the sacral region. The heart exhibited complex malformations. The external genitalia were female; and cytogenetic analysis confirmed female sex (46, XX). This analysis also corroborated the etiopathogenic hypotheses described for this abnormality, which proposes failures in embryonic formation rather than specific chromosomal alterations. Current identification of cases by ultrasound permits medical management and multidisciplinary action with the family, enabling the legal termination of pregnancy.http://www.revistas.usp.br/autopsy/article/view/82531AutopsyTwinsConjoinedCytogeneticsEmbryologyFetal Diseases |
spellingShingle | Cristiano Claudino Oliveira Claudia Aparecida Rainho Maria Aparecida Custódio Domingues Dicephalus dipus dibrachius twins: report of an autopsy case Autopsy and Case Reports Autopsy Twins Conjoined Cytogenetics Embryology Fetal Diseases |
title | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_full | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_fullStr | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_full_unstemmed | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_short | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_sort | dicephalus dipus dibrachius twins report of an autopsy case |
topic | Autopsy Twins Conjoined Cytogenetics Embryology Fetal Diseases |
url | http://www.revistas.usp.br/autopsy/article/view/82531 |
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