Bibliographic Details
| Title: |
Gemelos cefalópagos Janiceps disimétricos: reporte de un caso y revisión de la bibliografía. |
| Alternate Title: |
Disymmetric Cephalopagus Janiceps conjoined twins: A case report and literature review. |
| Authors: |
Vilela Desposorio, Carlos1,2 crlsvilela@yahoo.com, Abanto Vaella, María1,2, Aznarán Torres, Rocío3, Villanueva Baltuano, Myriam1 |
| Source: |
Patologia Revista Latinoamericana. 2024, Vol. 62, p1-7. 7p. |
| Subjects: |
MULTIPLE pregnancy, MONOZYGOTIC twins, CESAREAN section, AUTOPSY, FETUS, CONJOINED twins, PREGNANCY |
| Abstract (English): |
BACKGROUND: This rare malformation is the first case seen in 61 years in the Pathology Department of Belen Hospital in Trujillo. CLINICAL CASE: 28-year-old woman with a history of a diabetic father. Referred to our hospital at 20 weeks of gestation with the ultrasound diagnosis of "Twin uterine pregnancy of conjoined twins, 15 weeks by fetal biometry". Knowing the condition of the fetus, she requests hospitalization for therapeutic management. At 21 weeks, the fetuses were extracted by caesarean section. At autopsy, the female conjoined twins were attached at the head, chest, and abdomen. Although the skulls were fused, the fetuses had 2 separate brains. Each fetus had complete organs. The only structures they had in common were the esophagus, stomach and small intestine all the way down to the distal third of the ileum. CONCLUSIONS: This case is a variant of conjoined twins, disymmetrical janiceps cephalopagus who were diagnosed with prenatal ultrasound. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
ANTECEDENTES: Los gemelos cefalópagos Janiceps disimétricos se originan por una rara malformación. Este caso supone el primer caso en 61 años, identificado en el Departamento de Patología de Hospital Belén de Trujillo, Perú. CASO CLÍNICO: Mujer de 28 años, con antecedentes familiares de padre diabético, enviada al hospital en la semana 20 semanas del embarazo, por diagnóstico ecográfico de "gestación uterina gemelar de siameses de 15 semanas, establecido por biometría fetal". Conocedora de la condición de su feto se solicitó la hospitalización para llevar a cabo su tratamiento. Se decidió finalizar el embarazo a las 21 semanas mediante cesárea. En la autopsia de los fetos, los siameses femeninos estaban unidos por la cabeza, el pecho y el abdomen. Si bien los cráneos estaban fusionados, tenían 2 encéfalos separados. Cada feto tenía sus órganos completos. Lo único en común fue el esófago, estómago e intestino delgado hasta el tercio distal del íleon. CONCLUSIÓN: Este caso representa una variante de siameses cefalopagos janiceps disimétricos con diagnóstico ecográfico prenatal. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
