Rare spontaneous monochorionic dizygotic twins: a case report and a systematic review.


Journal

BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799

Informations de publication

Date de publication:
14 Jul 2022
Historique:
received: 18 02 2022
accepted: 23 06 2022
entrez: 14 7 2022
pubmed: 15 7 2022
medline: 19 7 2022
Statut: epublish

Résumé

Monochorionic dizygotic twins are a rare condition, mostly related to assisted reproductive technology. This type of twinning is burdened by the same risk of pregnancy complications found in monochorionic monozygotic pregnancies. We report a case of spontaneous monochorionic dizygotic twins sharing situs inversus abdominalis and isolated levocardia, with only one twin affected by biliary atresia with splenic malformation syndrome. We also conducted a literature review of the 14 available documented monochorionic dizygotic twin gestations spontaneously conceived. It is still unclear how this unusual type of twinning can occur in spontaneous conception. The evidence so far suggest the importance to timely diagnose the chorionicity, in order to adequately manage the typical complications associated with monochorionicity.

Sections du résumé

BACKGROUND BACKGROUND
Monochorionic dizygotic twins are a rare condition, mostly related to assisted reproductive technology. This type of twinning is burdened by the same risk of pregnancy complications found in monochorionic monozygotic pregnancies.
CASE PRESENTATION METHODS
We report a case of spontaneous monochorionic dizygotic twins sharing situs inversus abdominalis and isolated levocardia, with only one twin affected by biliary atresia with splenic malformation syndrome. We also conducted a literature review of the 14 available documented monochorionic dizygotic twin gestations spontaneously conceived.
CONCLUSIONS CONCLUSIONS
It is still unclear how this unusual type of twinning can occur in spontaneous conception. The evidence so far suggest the importance to timely diagnose the chorionicity, in order to adequately manage the typical complications associated with monochorionicity.

Identifiants

pubmed: 35836143
doi: 10.1186/s12884-022-04866-x
pii: 10.1186/s12884-022-04866-x
pmc: PMC9284757
doi:

Types de publication

Case Reports Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

564

Informations de copyright

© 2022. The Author(s).

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Auteurs

Giulia Trombetta (G)

Department of Gynecology and Obstetrics, School of Medicine of Udine, Udine, Italy.

Dora Fabbro (D)

Istituto Di Genetica Medica, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.

Eliana Demori (E)

Istituto Di Genetica Medica, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.

Lorenza Driul (L)

Department of Gynecology and Obstetrics, School of Medicine of Udine, Udine, Italy.
Dipartimento Di Area Medica, Università Degli Studi Di Udine, Udine, Italy.

Giuseppe Damante (G)

Istituto Di Genetica Medica, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy. giuseppe.damante@asufc.sanita.fvg.it.
Dipartimento Di Area Medica, Università Degli Studi Di Udine, Udine, Italy. giuseppe.damante@asufc.sanita.fvg.it.

Serena Xodo (S)

Department of Gynecology and Obstetrics, School of Medicine of Udine, Udine, Italy. serenaxodo@yahoo.it.
Department of Gynecology and Obstetrics, Azienda Sanitaria Universitaria Friuli Centrale, Presidio Ospedaliero Santa Maria della Misericordia, Udine, UD, Italy. serenaxodo@yahoo.it.

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Classifications MeSH