Alkhateeb Mahmoud, Mashaqbeh Mahmoud, Magableh Sami, Hadad Rafiq, Nseer Quteiba, Alshboul Abdelkhaleg
Department of Obstetrics and Gynecology, Feto-Maternal unit. Royal Medical Services, Irbid, Jordan.
Department of Pediatrics. Royal Medical Services, Irbid, Jordan.
Acta Inform Med. 2015 Feb;23(1):60-2. doi: 10.5455/aim.2015.23.60-62. Epub 2015 Feb 22.
Conjoined twins are identical twins joined in utero. It's a rare phenomenon and present a unique challenge to obstetricians and pediatric surgeons. Conjoined twins are complex complication of monozygotic twinning, which is associated with high perinatal mortality.
At our clinic complete anomaly scan was done, the patients was found to have monozygotic twins of 15 weeks gestation and carrying a conjoint twin. Our ultrasound revealed fully developed heads facing each other, joint at the thorax and sharing a common abdomen. These twins share a single heart with two atrium and two ventricle. They decide for termination of pregnancy after taken the opinion of religious people. Termination of pregnancy was performed by many methods and we chose to use cytotec tablets which inserted vaginally and the outcome was conjoint twin with two bodies fused from the upper thorax to lower belly. Both fetuses are female and died immediately after termination of pregnancy.
联体双胎是在子宫内相连的同卵双胞胎。这是一种罕见的现象，给产科医生和小儿外科医生带来了独特的挑战。联体双胎是单卵双胎的复杂并发症，与围产期高死亡率相关。
在我们诊所进行了全面的异常扫描，发现患者怀有一对妊娠15周的同卵双胞胎，其中一个是联体双胎。我们的超声检查显示，两个胎儿头部完全发育且相对，胸部相连，共用一个腹部。这对双胞胎共用一个心脏，有两个心房和两个心室。在征求了宗教人士的意见后，他们决定终止妊娠。终止妊娠采用了多种方法，我们选择使用米索前列醇片经阴道给药，结果娩出的联体双胎从胸部上方到下腹部相连。两个胎儿均为女性，终止妊娠后立即死亡。
