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Sonographic Antepartum Diagnosis of Conjoined Twins: Title and subTitle BreakIts Impact on Obstetric Management FREE

Richard M. Gore, MD; Roy A. Filly, MD; Julian T. Parer, MD, PhD
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Reprint requests to University of California Medical Center, San Francisco, CA 94143 (Dr Filly).


JAMA. 1982;247(24):3351-3353. doi:10.1001/jama.1982.03320490049036
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The antepartum diagnosis of conjoined twins is difficult but extremely important for maximization of infant viability and reduction of maternal morbidity. Certain characteristic sonographic and radiological features of anteriorly joined twins allow the diagnosis to be made with some certainty. We describe a case of thoraco-omphalopagus twins in which the prepartum diagnosis was made according to these criteria, and we discuss the impact of early diagnosis on obstetric management.

(JAMA 1982;247:3351-3353)

REFERENCES

Hanson JW:  Incidence of conjoined twinning . Lancet 1975;;2:1257.
Chan DPC:  Thoracoomphalopagus diagnosed before delivery . Med J Aust 1976;;1:480-483.
Borden S, Rider RF, Pollard JJ, et al:  Radiology of conjoined twins: Intrauterine diagnosis and postnatal evaluation . AJR 1974;; 120:424-430.
Vaughn TC, Powell LC:  The obstetrical management of conjoined twins . Obstet Gynecol 1979;;53( (suppl) ):67-72.
Wilson RL, Shaub MS, Cetrulo CJ:  The antepartum findings of conjoined twins . JCU 1977;;5:35-39.
Austin E, Schifrin BS, Pomerance JJ, et al:  The antepartum diagnosis of conjoined twins . J Pediatr Surg 1980;;15:332-334.
Morgan CL, Trought WS, Sheldon G, et al:  B-scan and real time ultrasound in the antepartum diagnosis of conjoined twins and pericardial effusion . AJR 1978;;130:578-580.
Fagan CJ:  Antepartum diagnosis of conjoined twins by ultrasonography . AJR 1977;; 129:921-922.
Edwards WD, Hagel DR, Thompson J, et al:  Conjoined thoracopagus twins . Circulation 1977;; 56:491-497.
Gray CM, Nix HG, Wallace AJ:  Thoracopagus twins: Prenatal diagnosis . Radiology 1950;; 54:398-400.

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Hanson JW:  Incidence of conjoined twinning . Lancet 1975;;2:1257.
Chan DPC:  Thoracoomphalopagus diagnosed before delivery . Med J Aust 1976;;1:480-483.
Borden S, Rider RF, Pollard JJ, et al:  Radiology of conjoined twins: Intrauterine diagnosis and postnatal evaluation . AJR 1974;; 120:424-430.
Vaughn TC, Powell LC:  The obstetrical management of conjoined twins . Obstet Gynecol 1979;;53( (suppl) ):67-72.
Wilson RL, Shaub MS, Cetrulo CJ:  The antepartum findings of conjoined twins . JCU 1977;;5:35-39.
Austin E, Schifrin BS, Pomerance JJ, et al:  The antepartum diagnosis of conjoined twins . J Pediatr Surg 1980;;15:332-334.
Morgan CL, Trought WS, Sheldon G, et al:  B-scan and real time ultrasound in the antepartum diagnosis of conjoined twins and pericardial effusion . AJR 1978;;130:578-580.
Fagan CJ:  Antepartum diagnosis of conjoined twins by ultrasonography . AJR 1977;; 129:921-922.
Edwards WD, Hagel DR, Thompson J, et al:  Conjoined thoracopagus twins . Circulation 1977;; 56:491-497.
Gray CM, Nix HG, Wallace AJ:  Thoracopagus twins: Prenatal diagnosis . Radiology 1950;; 54:398-400.
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