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Discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: A case report

BACKGROUND: Documentation of superfoetation is extremely rare in humans., The younger foetus has invariably been small for gestational age (estimated from the date of the last menstrual bleed) in all the cases reported in the literature. We report a case where the younger twin was of appropriate siz...

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Autores principales: Baijal, Noopur, Sahni, Mohit, Verma, Neeraj, Kumar, Amit, Parkhe, Nittin, Puliyel, Jacob M
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1781446/
https://www.ncbi.nlm.nih.gov/pubmed/17239246
http://dx.doi.org/10.1186/1471-2431-7-2
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author Baijal, Noopur
Sahni, Mohit
Verma, Neeraj
Kumar, Amit
Parkhe, Nittin
Puliyel, Jacob M
author_facet Baijal, Noopur
Sahni, Mohit
Verma, Neeraj
Kumar, Amit
Parkhe, Nittin
Puliyel, Jacob M
author_sort Baijal, Noopur
collection PubMed
description BACKGROUND: Documentation of superfoetation is extremely rare in humans., The younger foetus has invariably been small for gestational age (estimated from the date of the last menstrual bleed) in all the cases reported in the literature. We report a case where the younger twin was of appropriate size for gestation. CASE PRESENTATION: The first of twins was of 32 weeks gestation and the baby was of appropriate size and development for the gestational age. The second twin was of 36 weeks gestation. Gestational age was estimated with the New Ballard score, x-ray of the lower limbs, dental age on x-ray, and ophthalmic examination. CONCLUSION: Bleeding on implantation of the first foetus probably helped demarcate the two pregnancies. Dental age and the New Ballard score can be used to diagnose superfoetation in discordant twins, when detailed first trimester ultra-sound data is not available.
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spelling pubmed-17814462007-01-25 Discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: A case report Baijal, Noopur Sahni, Mohit Verma, Neeraj Kumar, Amit Parkhe, Nittin Puliyel, Jacob M BMC Pediatr Case Report BACKGROUND: Documentation of superfoetation is extremely rare in humans., The younger foetus has invariably been small for gestational age (estimated from the date of the last menstrual bleed) in all the cases reported in the literature. We report a case where the younger twin was of appropriate size for gestation. CASE PRESENTATION: The first of twins was of 32 weeks gestation and the baby was of appropriate size and development for the gestational age. The second twin was of 36 weeks gestation. Gestational age was estimated with the New Ballard score, x-ray of the lower limbs, dental age on x-ray, and ophthalmic examination. CONCLUSION: Bleeding on implantation of the first foetus probably helped demarcate the two pregnancies. Dental age and the New Ballard score can be used to diagnose superfoetation in discordant twins, when detailed first trimester ultra-sound data is not available. BioMed Central 2007-01-19 /pmc/articles/PMC1781446/ /pubmed/17239246 http://dx.doi.org/10.1186/1471-2431-7-2 Text en Copyright © 2007 Baijal et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Baijal, Noopur
Sahni, Mohit
Verma, Neeraj
Kumar, Amit
Parkhe, Nittin
Puliyel, Jacob M
Discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: A case report
title Discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: A case report
title_full Discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: A case report
title_fullStr Discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: A case report
title_full_unstemmed Discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: A case report
title_short Discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: A case report
title_sort discordant twins with the smaller baby appropriate for gestational age – unusual manifestation of superfoetation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1781446/
https://www.ncbi.nlm.nih.gov/pubmed/17239246
http://dx.doi.org/10.1186/1471-2431-7-2
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