Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 9 , ISSUE 3 ( July-September, 2017 ) > List of Articles

CASE REPORT

Selective Fetal Reduction of Conjoined Twins in Twin Pregnancy

Sumesh Choudhary, Himani Agarwal

Citation Information : Choudhary S, Agarwal H. Selective Fetal Reduction of Conjoined Twins in Twin Pregnancy. J South Asian Feder Obs Gynae 2017; 9 (3):277-279.

DOI: 10.5005/jp-journals-10006-1512

License: CC BY 3.0

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Background

The incidence of conjoined twins is rare. In early pregnancy, transvaginal ultrasound may facilitate diagnosis and prompt intervention can be done.

Case Report

A 35 years old patient with history of infertility for 17 years conceived after In vitro fertilization–embryo transfer with donor oocytes due to ovarian factor; three embryos were transferred. Transvaginal sonography was done on 21st day after transfer and it revealed three gestational sacs with fetal pole in all the sacs. Repeat TVS done on 65th day post embryo transfer revealed one gestational sac with single live embryo, second sac with two embryos joined at thorax and abdomen with a common heart, and two heads. Couple was then counseled for fetal reduction in view of expected poor outcome of conjoined twins. Selective fetal reduction was done at 12 weeks gestation with intra-cardiac potassium chloride administration. Pregnancy is now ongoing with an apparently normal live singleton fetus.

Conclusion

When conjoined twins are detected early, fetal reduction is a good modality of management. These pregnancies are associated with severe complications, maternal and fetal morbidity and mortality. Hence, the sooner the fetal reduction is, the better the management of conjoined twins.

How to cite this article

Choudhary S, Mishra V, Aggarwal R, Agarwal H. Selective Fetal Reduction of Conjoined Twins in Twin Pregnancy. J South Asian Feder Obst Gynae 2017;9(3):277-279.


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