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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...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2007
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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. |
format | Text |
id | pubmed-1781446 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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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