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TitleDichorionic twins discordant for body-stalk anomaly: a management challenge
Author(s)Caldas, Rita
Rodrigues, Cátia
Pina, Carla
Nogueira, Rosete
KeywordsAbdominal Wall
Abnormalities, Multiple
Genetic Counseling
Gestational Age
Infant, Newborn
Pregnancy Outcome
Pregnancy, Twin
Umbilical Cord
Pregnancy Reduction, Multifetal
Prenatal Diagnosis
congenital disorders
materno-fetal medicine
medical management
Issue date12-May-2018
PublisherBMJ Publishing Group
JournalBMJ Case Reports
CitationCaldas, R., Rodrigues, C., Pina, C., & Nogueira, R. (2018). Dichorionic twins discordant for body-stalk anomaly: a management challenge. BMJ case reports, 2018, bcr-2017
Abstract(s)Body-stalk anomaly is a sporadic and rare maldevelopment disorder characterised by large abdominal wall defect, spinal deformity and rudimentary umbilical cord. It is considered a lethal condition as there are only few reports of survival but there was at least one case of long-term survival after neonatal surgery.Differential diagnosis includes isolated omphalocele or gastroschisis, short umbilical cord, amniotic band, limb body-wall complex and other polymalformative syndromes.There are few reports about the expectant prenatal management of the body stalk anomaly as the majority of prenatal diagnosed cases undergo early elective termination. Twin pregnancies discordant for the anomaly represent a challenge to prenatal management as a healthy fetus should also be considered.We describe a case of dichorionic-diamniotic twins discordant for body stalk anomaly which underwent selective feticide of the affected fetus late in pregnancy, in accordance with parents' decision focused on the neonatal well-being of the unaffected twin.
AccessRestricted access (Author)
Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

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