Cargando…
Growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: Case report
A case of monochorionic-monoamniotic (MCMA) twin pregnancy with growth discordance because of difference of cord diameter in forked umbilical cord is reported. MCMA twins were diagnosed at 12 weeks of gestation and twin growth discordance was considered during the follow-up twice-weekly visits to th...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604663/ https://www.ncbi.nlm.nih.gov/pubmed/28906394 http://dx.doi.org/10.1097/MD.0000000000008042 |
_version_ | 1783264899114205184 |
---|---|
author | Guo, Yongbing Sun, Yu Yang, Huixia |
author_facet | Guo, Yongbing Sun, Yu Yang, Huixia |
author_sort | Guo, Yongbing |
collection | PubMed |
description | A case of monochorionic-monoamniotic (MCMA) twin pregnancy with growth discordance because of difference of cord diameter in forked umbilical cord is reported. MCMA twins were diagnosed at 12 weeks of gestation and twin growth discordance was considered during the follow-up twice-weekly visits to the ultrasound and prenatal care units. The pregnancy was terminated at 34 weeks. Two live female babies weighing 2510 g and 1940 g were delivered. Examination of placenta and umbilical cords after birth showed that the 2 cords merged into a conjoint cord 1 cm from insertion to the placenta (forked umbilical cord). Placental color injection showed that the 2 fetuses shared the same placenta area. The diameters of the 2 cords were significantly different (1.5 vs 0.8 cm). This caused an unequal distribution of blood and nutrients, which is the real reason of twin growth discordance in this case. This case reveals that the diameter discordance of cords can be an important factor for twin growth discordance. Few relevant cases have previously been reported. Cords diameter measurement is suggested for ultrasound surveillance of twin growth discordance. |
format | Online Article Text |
id | pubmed-5604663 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-56046632017-10-03 Growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: Case report Guo, Yongbing Sun, Yu Yang, Huixia Medicine (Baltimore) 5600 A case of monochorionic-monoamniotic (MCMA) twin pregnancy with growth discordance because of difference of cord diameter in forked umbilical cord is reported. MCMA twins were diagnosed at 12 weeks of gestation and twin growth discordance was considered during the follow-up twice-weekly visits to the ultrasound and prenatal care units. The pregnancy was terminated at 34 weeks. Two live female babies weighing 2510 g and 1940 g were delivered. Examination of placenta and umbilical cords after birth showed that the 2 cords merged into a conjoint cord 1 cm from insertion to the placenta (forked umbilical cord). Placental color injection showed that the 2 fetuses shared the same placenta area. The diameters of the 2 cords were significantly different (1.5 vs 0.8 cm). This caused an unequal distribution of blood and nutrients, which is the real reason of twin growth discordance in this case. This case reveals that the diameter discordance of cords can be an important factor for twin growth discordance. Few relevant cases have previously been reported. Cords diameter measurement is suggested for ultrasound surveillance of twin growth discordance. Wolters Kluwer Health 2017-09-15 /pmc/articles/PMC5604663/ /pubmed/28906394 http://dx.doi.org/10.1097/MD.0000000000008042 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-sa/4.0 This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0 |
spellingShingle | 5600 Guo, Yongbing Sun, Yu Yang, Huixia Growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: Case report |
title | Growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: Case report |
title_full | Growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: Case report |
title_fullStr | Growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: Case report |
title_full_unstemmed | Growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: Case report |
title_short | Growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: Case report |
title_sort | growth discordance of monoamniotic twin because of difference of cords diameter in forked umbilical cord: case report |
topic | 5600 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604663/ https://www.ncbi.nlm.nih.gov/pubmed/28906394 http://dx.doi.org/10.1097/MD.0000000000008042 |
work_keys_str_mv | AT guoyongbing growthdiscordanceofmonoamniotictwinbecauseofdifferenceofcordsdiameterinforkedumbilicalcordcasereport AT sunyu growthdiscordanceofmonoamniotictwinbecauseofdifferenceofcordsdiameterinforkedumbilicalcordcasereport AT yanghuixia growthdiscordanceofmonoamniotictwinbecauseofdifferenceofcordsdiameterinforkedumbilicalcordcasereport |