RÉSUMÉ
Pregnancy of an anencephalic fetus generates deep thoughts about its diagnosis, treatment and management of maternal risk, having in mind the irreversibility of the fetal situation. At the present moment, there are no guidelines for labor care in these cases, probably because in most developed countries in which abortion is legal, these pregnancies are interrupted earlier. In Chile, where abortion is illegal we must deal with these situations at the end of the pregnancy period. Of 35,682 labors attended at our hospital, 14 were anencephalic fetuses. In 50 percent of these a cesarean section was done and in one, a hysterectomy was required due to uterine inertia.
Sujet(s)
Femelle , Humains , Grossesse , Anencéphalie/chirurgie , Questions bioéthiques , Accouchement (procédure) , Foetus/malformations , Avortement provoqué , Avortement provoqué/législation et jurisprudence , Anencéphalie/diagnostic , Début de la vie humaine , Déontologie médicale , Diagnostic prénatalSujet(s)
Adulte , Femelle , Humains , Grossesse , Avortement thérapeutique/effets indésirables , Anencéphalie , Anticorps anticardiolipines/sang , Thrombose veineuse/étiologie , Anencéphalie/diagnostic , Anencéphalie/chirurgie , Anticoagulants/usage thérapeutique , Thrombose veineuse/traitement médicamenteuxRÉSUMÉ
We present a case of inferior conjunction in a rare type of conjoined twins, dicephalus in a male fetus. The male fetus was born to a 24-year-old, gravida 2, and para 0, who had medical abortion at 15 weeks of gestation due to anencephaly with meningoencephalocele revealed by ultrasound examination. The fetus was born with 2 anencephalic heads with a bifurcation of the vertebral column and presence of 2 spinal cords. The other viscera and limbs were normal in number and location as for a male singleton. This case illustrates the relationship between conjoined twining, and neural tube defect more particularly anencephaly with a male zygote, which is an unusual presentation for this type of zygote gender