Monochorionic twin fetus with VACTERL association after intracytoplasmic sperm injection.
Congenit Anom (Kyoto)
; 53(2): 95-7, 2013 Jun.
Article
in En
| MEDLINE
| ID: mdl-23751045
ABSTRACT
We report a rare case of a monochorionic twin gestation after intracytoplasmic sperm injection (ICSI) in which one of the fetuses had VACTERL association. A 27-year-old woman became pregnant by ICSI and was found to have monochorionic twin fetuses. One fetus was noted to have the following anomalies a multicystic, dysplastic left kidney with a hydroureter, and a dilated colon. A normal-sized stomach and normal amount of amniotic fluid were observed during the prenatal period with no other anomalies. The postnatal examination revealed hypospadias, and anal, esophageal, and duodenal atresia; thus, a diagnosis of VACTERL association was established. Although the prenatal diagnosis of this disorder is a challenge, even in a singleton, some of the characteristic features observed during antepartum ultrasonography may be a clue to the diagnosis, especially in a twin pregnancy after ICSI.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anal Canal
/
Spine
/
Trachea
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Chorion
/
Limb Deformities, Congenital
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Duodenal Obstruction
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Esophagus
/
Fetus
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Heart Defects, Congenital
/
Kidney
Type of study:
Diagnostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Pregnancy
Language:
En
Journal:
Congenit Anom (Kyoto)
Journal subject:
TERATOLOGIA
Year:
2013
Document type:
Article
Affiliation country:
Japan