Malformed pygopagus conjoined twins in a spontaneous triplet pregnancy

Ido Solt, Lior Lowenstein, Marina Okopnik, Orit Sheinin, Arie Drugan

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

This is a case study of malformed conjoined twins in a spontaneous triplet pregnancy. A 20 year-old primigravida spontaneously delivered at 22 weeks gestation a normal 425-gram male newborn followed by a delivery of a 525 grams pygopagus conjoined male twins. One twin had omphalocele, missing ears, cleft palate and dysmorphic figures while the other had imperforated anus and dysmorphic figures. The Apgar scores were 2/0. The placenta was monochorionic/diamniotic with single umbilical artery supplying both conjoined twins. Conjoined twin in a triplet pregnancy may be diagnosed by ultrasound as early as the first trimester. Failure in diagnosis of the condition resulted in early delivery of three premature infants. All three infants died after delivery.

Original languageHebrew
Pages (from-to)590-592
Number of pages3
JournalHarefuah
Volume144
Issue number8
StatePublished - Aug 2005
Externally publishedYes

Keywords

  • Conjoined twins
  • Malformation
  • Pygopagus
  • Triplet

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