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2021, Number 1

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Revista Cubana de Obstetricia y Ginecología 2021; 47 (1)

Early diagnosis of thoracopagus conjoined twins

Gutiérrez HM, Alonso LY, Torres EA, Duro NE, Ferro MS, Delgado PL

Language: Spanish
References: 24
Page: 1-16
PDF size: 209.95 Kb.


ABSTRACT

Introduction: Multiple pregnancy has increasing incidence, one of the related implications is the appearance of congenital defects, within which twins united by different anatomical areas are described. Although its occurrence is low, mortality is high, related to the affection of vital organs involved in the defect.
Objectives: To report a case of Siamese twins united by the thorax (thoracopagus) and to show the value of ultrasonography in the early diagnosis of congenital morphological defects.
Case report: A 26-year-old patient referred to the Havana Provincial Genetics Center from her health area, for the detection of a 12-week-old fetus with hydrops fetalis in the first trimester ultrasound. A confirmation ultrasound was performed, reporting a monoamniotic monochorial twin pregnancy of Siamese fetuses, hydropic, united in the thoracic region that share the heart and liver. Genetic counseling was provided to the couple, who requested voluntary termination of the pregnancy. The pregnancy was terminated with a pharmacological method and 14-week-old Siamese fetuses were obtained. The findings reported by prenatal ultrasound were confirmed by pathological anatomy.
Conclusions: The early diagnosis of this defect by means of ultrasonography is undoubtedly the best tool that favors early decision-making in relation to the continuity of the pregnancy.


REFERENCES

  1. González Cortés B, Hernández-Valencia M. Siameses toracópagos: presentaciónde caso y revisión de la literatura. Perinatol Reprod Hum. 2015 [acceso19/12/2017];29(3):130-3. Disponible en:https://www.sciencedirect.com/science/article/pii/S0187533715000382

  2. Mutchinick OM, Luna-Muñoz L, Amar E, Bakker MK, Clementi M, Cocchi G, et al.Conjoined Twins: a worldwide collaborative epidemiological study of theinternational clearinghouse for birth defects surveillance and research. Am J MedGenet C Semin Med Genet. 2011 [acceso 15/11/2012];10(4):274-87. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457318/pdf/nihms692510.pdf

  3. Koreti S, Prasad N, Patell GS. Cephalothoracoomphalopagus: a rare type ofconjoined twins. J Clin Neonatol. 2014 [acceso 15/11/2012];3(1):47-8. Disponibleen: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3982341/

  4. Quintana Hernández D, Pérez Álvarez I, Barrios Gutiérrez E, Herrera Luis A.Gemelos siameses cefalotoracoonfalópago. Medimay. 2018 [acceso22/09/2020];25(1):[aprox. 8 p.]. Disponible en:http://medimay.sld.cu/index.php/rcmh/article/view/1193

  5. Rosa FW, Hernandez C, Carlo WA. Griseoful vinteratology, including twothoracopagus conjoined twins. Lancet. 1987 [acceso 15/11/2012];(8525):171.Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/2880014

  6. Spitz L, et al. Conjoined Twins. JAMA. 2015;289(10):1307-10. DOI:http://dx.doi.org/10.1001/jama.289.10.1307.

  7. Sandoval-Martínez DK, Centeno-Hurtado KT. Presentación de un caso de siamesescefalópagos. Rev Cubana Obstet Ginecol. 2017 [acceso 15/11/2012];43(2):1-8.Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0138-600X2017000200012

  8. Gómez-Cadena JD, Sandoval-Martínez DK. Conjoined twins (Siamese): descriptionof anatomopathological findings. Ginecol Obstet Mex. 2018 [acceso15/11/2012];86(12):823-30. Disponible en:http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S0300-90412018001200823&lng=es&nrm=iso&tlng=en

  9. Gutiérrez-Delgado IL, Marroquín-Lozada PA, Híjar-Sifuentes YA, Cabrera-Ramos S.Siameses: reporte de un caso. Rev. Perú. Ginecol. Obstet. 2011 [acceso22/09/2020];57(3):198-201. Disponible en:http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S230451322011000300010&lng=es

  10. Fernández JA, Marín GM, Tocuyo YE. Gemelos heterópagos. RevistaRepertorio de Medicina y Cirugía. 2019;28(2). DOI:https://doi.org/10.31260/RepertMedCir.v28.n2.2019.923

  11. Insunza FA, Carrillo TJ, Yamamoto CM, Valentini ChP, Ferrand MP.Aborto retenido con fetos toracópagos. Rev. Chil. Obstet. Ginecol. 2005[acceso 23/09/2020];70(1):21-3. Disponible en:https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-75262005000100006&lng=es http://dx.doi.org/10.4067/S0717-75262005000100006

  12. Lugones Botell Miguel, Martínez La Fuente Ana María, Trelles AguabellaEdilia, Peraza Méndez Carmen T. Siameses: Presentación de un caso. RevCubana Med Gen Integr. 1999 Ago [acceso 23/09/2020];15(4):473-5.Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21251999000400021&lng=es

  13. López Baños Lázaro, Fernández Pérez Zonia, Pérez Trujillo José, TejedaVizcaíno Alberto, Córdova Rodríguez Alfredo Carlos, Fuentes FernándezMileidys. Early diagnosis of thoracopagus twins. Rev Cubana Obstet Ginecol.2013 Sep [acceso 22/09/2020];39(3):266-72. Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2013000300006&lng=es

  14. Hornedo-Ramírez J, Viltres-Pérez A, Miller-Dixon E, Serrat-Gómez F,Fonseca-Millán L, de-Moya-González G. Toracópago. Presentación de uncaso. Multimed [revista en Internet]. 2009 [acceso 23/09/2020];13(3-4):[aprox. 0 p.]. Disponible en:http://www.revmultimed.sld.cu/index.php/mtm/article/view/1733

  15. Mutchinick OM, Luna-Muñoz L, Amar E, Bakker MK, Clementi M, CocchiG, et al. Conjoined Twins: a worldwide collaborative epidemiological studyof the international clearinghouse for birth defects surveillance andresearch. Am J Med Genet C Semin Med Genet. 2011 [acceso15/11/2012];10(4):274-87. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457318/pdf/nihms692510.pdf

  16. Koreti S, Prasad N, Patell GS. Cephalothoracoomphalopagus: a raretypeof conjoinedtwin. J Clin Neonatol. 2014 [acceso 15/11/2012];3(1):47-8.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3982341/

  17. Castilla EE, et al. The epidemiology of conjoined twins in Latin America.Acta Genet Med Gemellol (Roma). 1988;37(2):111-8. DOI:https://doi.org/10.1017/S0001566000004013

  18. Gómez-Cadena JD, Sandoval-Martínez DK. Conjoined twins (siamese):description of anatomopathological findings. Ginecol Obstet Mex. 2018[acceso 23/09/2020];86(12):823-30. Disponible en:https://www.medigraphic.com/cgibin/new/resumenI.cgi?IDARTICULO=84854

  19. Moreira Rios LT, Araujo JE, Machado Nardozza LM, Nacaratto DC,Fernandes Moron A, da Glória Martins M. Prenatal diagnosis and postnatalfindings of cephalothoracopagus janiceps disymmetros: a case report. CaseRep Med. 2012 [acceso 15/11/2012]:273526. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368323/

  20. Marcheco Teruel B. La ultrasonografía y su valor para el diagnósticoprenatal de los defectos congénitos en Cuba. Rev Cubana Genet Comunit.2010 [acceso 15/11/2012];4(2):3-4. Disponible en:http://bvs.sld.cu/revistas/rcgc/v4n2/rcgc010210.pdf

  21. Rodríguez Velázquez L, Vega Gutiérrez E, Sáez González F, Gámez PérezE, Rodríguez Rubio MA, Hechavarría Rodríguez M. Siameses. Rev CubanaObstet Ginecol. 2012 [acceso 15/11/2012];38(3). Disponible en:http://www.medigraphic.com/pdfs/revcubobsgin/cog-2012/cog123m.pdf

  22. Arteaga Yañez JH, Sánchez Montaño M, Negreros Osuna JP, MoralesSánchez FF. Siameses toracópagos: reporte de caso. Anales de RadiologíaMéxico. 2016 [acceso 23/09/2020];15(3). Disponible en:http://www.medigraphic.com/pdfs/anaradmex/arm-2016/arm163i.pdf

  23. López Baños L, Fernández Pérez Z, Langaney Rizo J. Siameses bicéfalos.Rev Cubana Obstet Ginecol. 2012 [acceso 15/11/2012];38(4). Disponible en:http://www.medigraphic.com/pdfs/revcubobsgin/cog-2012/cog124n.pdf

  24. Lattus OJ, Almuna VR, Paredes VA, Junemann UK, Guerra BF, Pizarro RO,et al. Siameses o gemelos unidos toracoonfalópagos y revisión de bibliografíanacional e internacional. Rev. Chil. Obstet. Ginecol. 2002 [acceso01/05/2021];67(5):392-401. Disponible en:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262002000500012&lng=es. http://dx.doi.org/10.4067/S0717-75262002000500012.




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