Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (2): 288-291    DOI: 10.12891/ceog3385.2017
Case Report Previous articles | Next articles
Virtopsy in conjoined ischiopagus twins
M.P. Biso1, P. Sala1, *(), V.G. Vellone2, G. Minetti3, C.R. Gaggero1, M. Foppiano1, E. Fulcheri4, P. De Biasio1
1 Unit of Obstetrics and Gynecology, IRCCS A.O.U. San Martino IST, Genoa, Italy
2 Department of Pathology, University of Genoa and IRCCS A.O.U. San Martino IST, Genoa, Italy
3 Department of Radiology, IRCCS A.O.U. San Martino IST, Genoa, Italy
4 Department of Pathology, University of Genoa and IRCCS G. Gaslini Institute, Genoa, Italy
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  
Purpose of investigation: To propose a multidisciplinary protocol for postmortem disclosure of complex fetal malformations, comparing ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and autopsy in a case of conjoined ischiopagus twins. Materials and Methods: A screening second-trimester ultrasound diagnosed ischiopagus twins at 20 gestational weeks in a 31- year-old woman without any previous ultrasound examination. The couple decided for pregnancy termination. The formalin-fixed fetuses underwent full-body CT, MRI, and autopsy. Results: ultrasound accurately diagnosed ischiopagus twins. CT was very accurate in the description of bone components. MRI allowed better visualization of the visceral organs than CT. Only autopsy could disclose the aspect of the two gastrointestinal tracts and the external genitalia. Conclusions: Prenatal ultrasound represents the standard diagnostic exam for conjoined twins. CT-MRI virtual autopsy (virtopsy) may be an option if the couple refuses to authorize necropsy or may be useful to plan a minimally invasive autopsy preserving the external phenotype.
Key words:  Autopsy      Computed tomography      Conjoined twins      Magnetic resonance imaging      Ultrasound      Virtopsy     
Published:  10 April 2017     
*Corresponding Author(s):  P. SALA     E-mail:  paolsala@gmail.com

Cite this article: 

M.P. Biso, P. Sala, V.G. Vellone, G. Minetti, C.R. Gaggero, M. Foppiano, E. Fulcheri, P. De Biasio. Virtopsy in conjoined ischiopagus twins. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 288-291.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3385.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I2/288

[1] H.M. Kim, J.Y. Lee, W.J. Seong. Multidetector computed tomography to predict heavy bleeding and need for angiographic embolization in patients with postpartum hemorrhage[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 478-482.
[2] C. Stenfelt, L. Ydenius, S. Lindberg, J. Spira, G. Edelstam. Effects of the colour and design of a new pelvic examination chair on comfort during gynaecological examination[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 556-559.
[3] A. Vatopoulou, A. Papanikolaou. Asymptomatic adnexal mass in postmenopausal women[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 320-323.
[4] S. Coremans, J. Muys, J. De Winter, H. De Raedemaecker, Y. Jacquemyn. Ultrasound by midwives in the postpartum period: feasibility, reproducibility and midwives' perspectives[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 348-354.
[5] I.H. Kalelioglu, S.G. Erzincan, R. Has, A. Yuksel. Forehead and facial heights in Down syndrome and normal fetuses in the midtrimester of pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 220-227.
[6] C. Chan, J.W. Wang, C.W. Wang, C.W. Chang. A pitfall in ultrasonographic diagnosis–heterotopic cornual pregnancy initially misdiagnosed as leiomyoma[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 296-298.
[7] H.J. Wang, Y.H. Wu, P.S. Huang. Severe pelvic actinomycosis with intrauterine device in situ and abdominal wall involvement treated with medication only: case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 306-308.
[8] H. Morita, Y. Yamasaki, S. Sugino, H. Koh, N. Kojima, K. Kitajima, T. Yamazaki, K. Takeuchi. Successful laparoscopic tumorectomy of struma ovarii diagnosed preoperatively[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 312-314.
[9] C. Chollet, B. Andre, M. Voglimacci, A. Ghassani, O. Parant, P. Guerby. Perinatal outcomes of second trimester antenatal genital bleeding[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 105-110.
[10] A. P. Londero, S. Visentin, L. Marin, M. C. Bongiorno, D. Visentin, S. Bertozzi, E. Cosmi, A. Cagnacci, L. Driul. Second trimester prediction of small for gestational age and intrauterine growth restriction[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 70-74.
[11] S.B. Cohen, M. Shapira, A. Baron, J. Bouaziz, R. Mashiach, M. Goldenberg, R. Orvieto. Ultrasonography-guided hysteroscopic tubal catheterization of proximally occluded tubes - reproductive outcomes[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 872-875.
[12] G. Szabó, J. Rigó Jr.. Prenatal ultrasound diagnosis of abdominal pregnancy of ovarian origin[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 977-979.
[13] T. Murata, S. Suzuki, H. Kyozuka, M. Chishiki, H. Tanaka, K. Fujimori. Fetal primary volvulus with abnormal heart rate patterns on cardiotocography[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1003-1004.
[14] I. Korkontzelos, A. Vlachioti, P. Mavridou, A. Rapi, G. Tsanadis, T. Stefos. Heterotopic triplet pregnancy after in vitro fertilization and intracytoplasmatic sperm injection complicated with ovarian hyperstimulation syndrome single twin fetal demise and cervical incompetence: a successful obstetrical outcome[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1007-1010.
[15] K. Lee, S. Lee, H. N. Lee, H. Lim, I. J. Kim, I. Y. Park, M. J. Kim. Uterine necrosis following selective embolization for postpartum hemorrhage: report of four cases and review of literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1020-1025.
No Suggested Reading articles found!