Prenatal diagnosis of pygopagus tetrapus parasitic twin case report 英文参考文献.docVIP

BMC Pregnancy and Childbirth BioMedCentral Case report Open Access Prenatal diagnosis of pygopagus tetrapus parasitic twin: case report Ahmet Gul*, Halil Aslan and Yavuz Ceylan Address: Maternal and Fetal Unit, Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Women and Children Hospital, Istanbul, Turkey Email: Ahmet Gul* - ahmetgul@.tr; Halil Aslan - halil34aslan@; Yavuz Ceylan - yceylan@ * Corresponding author Published: 13 July 2004 Received: 26 March 2004 Accepted: 13 July 2004 BMC Pregnancy and Childbirth 2004, 4:13 doi:10.1186/1471-2393-4-13 This article is available from: /1471-2393/4/13 ? 2004 Gul et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the articles original URL. Abstract Background: Asymmetric and parasitic conjoined twins are rarer anomalies of monochorionic monoamniotic twins, consisting of an incomplete twin attached to the fully developed body of the co-twin. Case presentation: A 30-year-old multigravid woman referred to maternal fetal unit due to polyhydramnios at 28th week of gestation. Sonographic examination revealed a single fetus and polyhydramnios with amniotic fluid index 30 cm. The fetus had normal apparent single head, spine, thorax, abdomen, two upper and two lower limbs, and two relatively well developed rudimentary parasitic lower limbs at sacral region. Lower limbs of the autosite were moving freelly but no movement was detected at the parasite. The parasite contained irregular lower limbs and left foot with three toes. Short and deformed long bones were also present in the parasitic limbs. A Cesarean section was performed at 38th week of gestation and a live female infant weighing 3600 g was delivered. The parasitic lower limbs were totally excised. Post-operative period was unev