Aneja Ankur, Rajanna Dayananda Kumar, Reddy Vikram Narasimha, Mayilvavaganan Kamala Retnam, Pujar Poornima
Junior Resident, Department of Radiodiagnosis and Modern Imaging, MV Jayaram Medical College and Research Hospital , Bangalore-562114, India .
J Clin Diagn Res. 2013 Jul;7(7):1471-2. doi: 10.7860/JCDR/2013/5746.3165. Epub 2013 Jul 1.
Conjoined twins are a rare entity. Only few cases have been reported in the medical literature. They are a rare and exclusive type of monozygotic twins. They are caused by a faulty division of the embryonic disk. Due to high post-natal morbidity and mortality, an early pre-natal diagnosis is a must. All the monozygotic twins should be carefully screened for conjoinnment and if it is present, the type and the degree of sharing of the foetal organs should be delineated. There are many associated anomalies, of which congenital heart defects are the major prognostic factors. Here, we are reporting a case of thoraco-omphalopagus in which there was sharing of the foetal heart, liver and the intestinal loops.
联体双胎是一种罕见的情况。医学文献中仅报道过少数病例。它们是单卵双胎中一种罕见且独特的类型。其由胚盘的异常分裂所致。由于出生后发病率和死亡率较高,产前早期诊断必不可少。所有单卵双胎都应仔细筛查是否联体,若存在联体情况,应明确胎儿器官共享的类型和程度。存在许多相关异常,其中先天性心脏缺陷是主要的预后因素。在此,我们报告一例胸腹联体双胎病例,该病例中胎儿心脏、肝脏和肠袢存在共享情况。