Cephalothoracoomphalopagus – a rare type of conjoined twins from the pathologist’s perspective


Authors: Krajíčková M.;  Špůrková Z.
Authors‘ workplace: Patologicko-anatomické oddělení, FN Bulovka, Praha
Published in: Ceska Gynekol 2022; 87(4): 274-277
Category: Case Report
doi: 10.48095/cccg2022274

Overview

Objective: Case description and autopsy fi nding in conjoined twins dia gnosed in the 24th week of pregnancy. Results: We report a case of a 31-year-old primigravida who was referred to the Department of Gynecology and Obstetrics at our hospital with a presumptive dia gnosis of conjoined twins. The ultrasound examination with subsequent three-dimensional (3D) image reconstruction demonstrated twin gestation complicated by cephalothoracoomphalopagus. Observations demonstrated that the twins were joined over an area that extended from the head to the thoraces down to the central abdomen. In view of multiple congenital malformations incompatible with postnatal life, the pregnancy was terminated. The twins then underwent an autopsy at the Department of Pathology and the autopsy confi rmed previous diagnosis. Conclusion: Cephalothoracoomphalopagus is one of the rarest forms of conjoined twins with unknown incidence due to a very small number of documented cases.

Keywords:

Autopsy – pregnancy – conjoined twins


Sources

1. Amorosa JM, Cleary-Goldman J, D’Alton ME. Physiologic effects of multiple pregnancy on mother and fetus. Fetal and Neonatal Physiology. 5th ed. Amsterdam: Elsevier 2017: 167.e2–176.e2. doi: 10.1016/B978-0-323-35214-7.00016-0.

2. Koreti S, Prasad N, Singh Patell G. Cephalothoracoomphalopagus: a rare type of conjoined twin. J Clin Neonatol 2014; 3 (1): 47–48. doi: 10.4103/2249-4847.128737.

3. Patra A, Kaur H, Chhabra U et al. Cephalothoracoomphalopagus: a noninvasive study. Int J Adv Med Health Res 2015; 2 (2): 119–121.

4. Turgut F, Turgut M, Başaloğlu H et al. Extremely rare type of conjoined twins: cephalothoracopagus deradelphus. Eur J Obstet Gynecol Reprod Biol 1998; 80 (2): 191–194. doi: 10.1016/s0301-2115 (98) 00131-6.

5. Bednář B. Patologie: Učebnice pro lé-kařské fakulty. 1. vyd. Praha: Avicenum 1982: 310–312.

6. Hovorakova M, Peterkova R, Likovsky Z et al. A case of conjoined twins cephalothoracopagus janiceps disymmetros. Reprod Toxicol 2008; 26 (2): 178–182. doi: 10.1016/j.reprotox. 2008.06.005.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account