Nadir görülen bir toraco-omfalopagus olgusu
Yapışık ikizler, ciddi mortalite ve morbidite ile birlikte nadir görülen bir konjenital anomalidir. Yapışık ikizlerin çeşitleri arasında, göğsün yanı sıra karın füzyonun olduğu thoracoomphalophagus tipi görülür. Makalemizde 10. haftada ultrasonografi ile teşhis edilen bir yapışık thoracoomphalophagus ikizleri vakası bildirildi. Multipar gebe hasta 10. gebelik haftasında kliniğimizde ultrasonografik muayene sonrası thoracoomphalophagus tanısı aldı ve gebeliği sonlandırıldı.Ciddi mortalite ve morbiditesi olması sebebiyle, yapışık ikizlere ultrasonografik muayene ile erken tanı koymak, ebeveynlere hamileliğin sonlandırılması için bir şans verir.
A rare case of thoracoomphalophagus
Conjoined twin is a rarely seen congenital anomaly together with severe mortality and morbidity. The more common types of conjoined twins include the thoracoomphalophagus type, where the fusion is anterior, at the chest and abdomen. We are reporting one case of conjoined thoracoomphalophagus twins diagnosed by ultrasonography at 10th gestational week. Multiparous pregnant patient received a conjoined twin (thoracoomphalophagus) diagnosis after ultrasonographic examination in our clinic at 10th gestational week and the pregnancy was terminated. Because of the serious morbidity and mortality, early diagnosis of conjoined twins by ultrasonographic examination gives the parents a chance to terminate the pregnancy.
___
- 1. Tang Y, Zhu J, Zhou GX, Dai L, Wang YP, Liang J. An epidemiological study on conjoined twins in China, from 1996 to 2004. Zhonghua Yu Fang Yi Xue Za Zhi 2007;41:146-9.
- 2. Singh M, Singh KP, Shaligram P. Conjoined twins cephalopagus janiceps monosymmetros: a case report. Birth Defects Res A Clin Mol Teratol 2003;67(4):268-72.
- 3. Gilbert-Barness E. Multipl pregnancies and conjoined twins. Potter’s Pathology of the Fetus, Infant and Child. 2nd ed. New York: Mosby; 2007. p.381-8.
- 4. L. Schnaufer. Conjoined twins. in Swenson’s Pediatric Surgery 1980; J. G. Raffensperger, Ed., pp. 910–920, Appleton Century-Crofts, New York, NY, USA, 4th edition.
- 5. T. Abossolo, P. Dancoisne, J. Tuaillon, E. Orvain, J. C. Sommer, J. P. Riviere. Early prenatal diagnosis of asymmetric cephalothoracopagus twins. Journal de gyn´ecologie, obst´etrique et biologie de la reproduction 1994;23(1):79– 84.
- 6. J. L. Stone, J. T. Goodrich. The craniopagus malformation: classification and implications for surgical separation. Brain 2006;129(5):1084–1095.
- 7. C. Hubinont, P. Kollmann, V. Malvaux, J. Donnez, P. Bernard. First-trimester diagnosis of conjoined twins. Fetal Diagnosis and Therapy 1997;12(3):185–187.