Duru Ugonna A, Laufer Marc R
Division of Gynecology, Department of Surgery, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA.
J Pediatr Adolesc Gynecol. 2009 Aug;22(4):e73-5. doi: 10.1016/j.jpag.2008.07.012.
We report a case of monochorionic, monoamniotic female twins with discordant congenital reproductive tract anomalies.
We present the case of a 17-year-old monochorionic-monoamniotic female twin with Mayer-von Rokitansky-Küster-Hauser Syndrome (MRKH) and her twin sister, who had with normal female reproductive system. Monozygosity is investigated by the complete history, physical, and imaging data, antenatal and birth reports of both the patient and her monozygotic twin sister. Examination of these documents proves monozygosity of the sisters, and imaging studies demonstrate MRKH in one twin and normal female genitalia in the other.
This case is presented as proof of MRKH discordance in monozygotic twins.
我们报告一例单绒毛膜、单羊膜囊女性双胞胎,其先天性生殖道异常情况不一致。
我们介绍了一名17岁的单绒毛膜 - 单羊膜囊女性双胞胎,其中一个患有迈耶 - 罗基坦斯基 - 库斯特 - 豪泽综合征(MRKH),而她的双胞胎姐妹具有正常的女性生殖系统。通过患者及其单卵双胞胎姐妹的完整病史、体格检查、影像学资料、产前和出生报告来调查单合子性。对这些文件的检查证实了姐妹俩的单合子性,影像学研究显示其中一个双胞胎患有MRKH,另一个具有正常的女性生殖器。
本病例作为单卵双胞胎中MRKH不一致的证据呈现。