Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2014, Vol. 41 Issue (2): 208-210    DOI: 10.12891/ceog16192014
Case Report Previous articles | Next articles
Dichorionic twin pregnancy discordant for anencephaly: two cases with different management
M. De la Calle1, *(), S. Arrieta1, B. Herrero1, F. Omenaca2, J.L. Bartha1
1Department of Obstetrics
2Department of Neonatology, Hospital La Paz, Madrid (Spain)
Download:  PDF(53KB)  ( 7 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
Background: Prevalence of anencephaly in dichorionic twins is higher than in singleton pregnancies. The authors report two cases with two different management strategies. Case 1: Spontaneous dichorionic diamniotic twin pregnancy with the second twin diagnosed with anencephaly at 12 weeks gestation. Selective feticide was performed at the age of 13.2 weeks. Vaginal delivery occurred at 39 weeks, and birth weight was 2,850 g. Case 2: Dichorionic diamniotic twin pregnancy discordant for anencephaly in the second twin was diagnosed at 13 weeks gestation. An expectant management was decided. Preterm delivery occurred at 35 weeks due to hydramnios of the affected fetus, delivering a healthy newborn weighing 2,300 g and an anencephalic neonate who died immediately after delivery. Conclusion: Anencephaly should be diagnosed as soon as possible, idealistically at 11-13+6 weeks ultrasound (US) scan, in order to offer the most appropriate counselling to the parents, ranging from selective feticide or expectant management. This short series suggests that selective early feticide may increase gestational age and birth weight.
Key words:  Anencephaly      Twin pregnancy      Prenatal diagnosis      Selective feticide      Expectant management     
Published:  10 April 2014     
*Corresponding Author(s):  M. DE LA CALLE     E-mail:  maria.delacalle@uam.es

Cite this article: 

M. De la Calle, S. Arrieta, B. Herrero, F. Omenaca, J.L. Bartha. Dichorionic twin pregnancy discordant for anencephaly: two cases with different management. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(2): 208-210.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog16192014     OR     https://ceog.imrpress.com/EN/Y2014/V41/I2/208

[1] Neha Sethi, Ann Gee Tan, Maherah Kamarudin, Sofiah Sulaiman. Successful delivery of a twin pregnancy with complete hydatidiform mole and coexistent live fetus: a case report and review of literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1232-1247.
[2] Thanakorn Heetchuay, Thotsapon Trakulmungkichkarn, Noel Pabalan, Nutthaphon Imsom-Somboon. Reference values of fetal atrioventricular time intervals derive from antegrade late diastolic arterial blood flow (ALDAF) from 14 to 40 weeks of gestation[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 867-874.
[3] Hidayet Sal, Emine Seda Guvendag Guven, Suleyman Guven. The relationship between fetal thymus volume and preterm birth in dichorionic diamniotic pregnancies[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 528-533.
[4] Dino Pavoković, Vesna Elveđi Gašparović, Tvrtko Tupek, Analena Gregorić, Ana Tikvica Luetić, Dubravko Habek. Perinatal outcome in twins. A hospital based comparative study at a single third-level care centre in Croatia[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 631-636.
[5] Saša Raičević, Duško Kljakić, Filip Vukmirović, Miloš Z. Milosavljević. A giant placental chorioangioma with a resultant live birth; a discussion of management options[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 426-430.
[6] Suchaya Luewan, Pakorn Chaksuwat, Tip Pongsuvareeyakul, Theera Tongsong. Prenatal sonographic findings and management of placental mesenchymal dysplasia[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 439-443.
[7] Sureyya Saridas Demir, Erkan Cağliyan, Sabahattin Altunyurt. Retrospective analysis of pregnancy terminations and indications in a tertiary center[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 85-90.
[8] B. Kim, S.H. Hong, J.H. Kim, M.Y. Kang, M.R. Rhee, J. Kim, K.J. Kim, H.A. Lee. Giant ventral hernia immediately after vaginal twin delivery[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 988-990.
[9] Y.J. Wu, C.J. Yu, W.H. Tian, Z. Xu. Prenatal diagnosis and molecular cytogenetic characterization of two hereditary chromosomal duplications with favorable outcomes[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(5): 789-791.
[10] B.F. Zhou, C.X. Duan, D.L. Tang. Methylmalonic acidemia in prenatal diagnosis[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 617-619.
[11] D. Lu, D. Cao, Q. Zhao, X. Chen. Prenatal diagnosis and genetic counseling of mosaicism for chromosome t (7; 14) with a favorable outcome[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 427-428.
[12] Y. Q. Xu, X. L. Chen, S. Zhao, P. W. Chen, X. M. Yin, S. Y. Xiong, Z. Ding, F. Xiong, X. H. Yang. OEIS complex (omphalocele-exstrophy-imperforate anus-spinal defects) in monozygotic twins: a case report and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 154-158.
[13] W. B. Wang, Q. Wu, Y. Zhou, X. Zhong, Y. Ge, J. Zhang. A 10-year retrospective study on prenatal cytogenetic analyses[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 248-252.
[14] E. J. Shim, H. J. Kim, I. Y. Kim, K. Y. Oh, Y. S. Yang, C. H. Jin. Outcomes of prophylactic and emergency cerclage versus expectant management for cervical insufficiency: a single-center retrospective, comparative study[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 262-267.
[15] Q.C. Wu, W.B. Wang, L. Sun, Y.S. Xu, X.J. Xie, X.M. Ma, Z.Y. Su. Mutation analysis of the fibroblast growth factor receptor 3 gene in fetuses with thanatophoric dysplasia, type I[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 7-11.
No Suggested Reading articles found!