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Dicephalus dipus dibrachius twins: report of an autopsy case
Dicephalus dipus dibrachius twins are a rare form of conjoined twins. An autopsy of conjoined dicephalus twins is reported. The diagnosis was performed during the pregnancy and the family received a judicial authorization for termination of pregnancy. The preterm newborn progressed to cardiac arrest...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
São Paulo, SP: Universidade de São Paulo, Hospital Universitário
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5448298/ https://www.ncbi.nlm.nih.gov/pubmed/28580323 http://dx.doi.org/10.4322/acr.2014.018 |
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author | Oliveira, Cristiano Claudino Rainho, Claudia Aparecida Domingues, Maria Aparecida Custódio |
author_facet | Oliveira, Cristiano Claudino Rainho, Claudia Aparecida Domingues, Maria Aparecida Custódio |
author_sort | Oliveira, Cristiano Claudino |
collection | PubMed |
description | Dicephalus dipus dibrachius twins are a rare form of conjoined twins. An autopsy of conjoined dicephalus twins is reported. The diagnosis was performed during the pregnancy and the family received a judicial authorization for termination of pregnancy. The preterm newborn progressed to cardiac arrest and died following a court order to terminate the pregnancy. The conceptus presented two arms, two legs, a trunk, two heads, and a single umbilical cord. The two spinal columns presented vertebral fusion in the sacral region. The heart exhibited complex malformations. The external genitalia were female; and cytogenetic analysis confirmed female sex (46, XX). This analysis also corroborated the etiopathogenic hypotheses described for this abnormality, which proposes failures in embryonic formation rather than specific chromosomal alterations. Current identification of cases by ultrasound permits medical management and multidisciplinary action with the family, enabling the legal termination of pregnancy. |
format | Online Article Text |
id | pubmed-5448298 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | São Paulo, SP: Universidade de São Paulo, Hospital Universitário |
record_format | MEDLINE/PubMed |
spelling | pubmed-54482982017-06-02 Dicephalus dipus dibrachius twins: report of an autopsy case Oliveira, Cristiano Claudino Rainho, Claudia Aparecida Domingues, Maria Aparecida Custódio Autops Case Rep Article / Autopsy Case Report Dicephalus dipus dibrachius twins are a rare form of conjoined twins. An autopsy of conjoined dicephalus twins is reported. The diagnosis was performed during the pregnancy and the family received a judicial authorization for termination of pregnancy. The preterm newborn progressed to cardiac arrest and died following a court order to terminate the pregnancy. The conceptus presented two arms, two legs, a trunk, two heads, and a single umbilical cord. The two spinal columns presented vertebral fusion in the sacral region. The heart exhibited complex malformations. The external genitalia were female; and cytogenetic analysis confirmed female sex (46, XX). This analysis also corroborated the etiopathogenic hypotheses described for this abnormality, which proposes failures in embryonic formation rather than specific chromosomal alterations. Current identification of cases by ultrasound permits medical management and multidisciplinary action with the family, enabling the legal termination of pregnancy. São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2014-06-30 /pmc/articles/PMC5448298/ /pubmed/28580323 http://dx.doi.org/10.4322/acr.2014.018 Text en Autopsy and Case Reports. ISSN 2236-1960. Copyright © 2014. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed of terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided article is properly cited. |
spellingShingle | Article / Autopsy Case Report Oliveira, Cristiano Claudino Rainho, Claudia Aparecida Domingues, Maria Aparecida Custódio Dicephalus dipus dibrachius twins: report of an autopsy case |
title | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_full | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_fullStr | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_full_unstemmed | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_short | Dicephalus dipus dibrachius twins: report of an autopsy case |
title_sort | dicephalus dipus dibrachius twins: report of an autopsy case |
topic | Article / Autopsy Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5448298/ https://www.ncbi.nlm.nih.gov/pubmed/28580323 http://dx.doi.org/10.4322/acr.2014.018 |
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