Diagnosis of Umbilical Cord Entanglement of Monoamniotic Twins by First‐Trimester Color Doppler Imaging
Monoamniotic twins occur in approximately 5% of monochorionic twin gestations as a result of splitting of the inner cell mass at 8 or more days after fertilization, and they are associated with high perinatal mortality rates, ranging between 28% and 47%. These gestations have unique pathologic condi...
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Veröffentlicht in: | Journal of ultrasound in medicine 2002-11, Vol.21 (11), p.1307-1309 |
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creator | Sherer, David M. Sokolovski, Margarita Haratz-Rubinstein, Nathan |
description | Monoamniotic twins occur in approximately 5% of monochorionic twin gestations as a result of splitting of the inner cell mass at 8 or more days after fertilization, and they are associated with high perinatal mortality rates, ranging between 28% and 47%. These gestations have unique pathologic conditions, including conjoined twins, a high prevalence of discordancy for fetal structural anomalies (the former and possibly also the latter resulting from consequences of the twinning process), and cord entanglement. We present a case in which monoamniotic twins at first-trimester transvaginal sonography were confirmed by color Doppler imaging as having entangled umbilical cords. |
doi_str_mv | 10.7863/jum.2002.21.11.1307 |
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These gestations have unique pathologic conditions, including conjoined twins, a high prevalence of discordancy for fetal structural anomalies (the former and possibly also the latter resulting from consequences of the twinning process), and cord entanglement. We present a case in which monoamniotic twins at first-trimester transvaginal sonography were confirmed by color Doppler imaging as having entangled umbilical cords.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/jum.2002.21.11.1307</identifier><identifier>PMID: 12418772</identifier><identifier>CODEN: JUMEDA</identifier><language>eng</language><publisher>Laurel, MD: American Institute of Ultrasound in Medicine</publisher><subject>Adult ; Biological and medical sciences ; Female ; Fetal Death ; Gynecology. Andrology. Obstetrics ; Humans ; Management. 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These gestations have unique pathologic conditions, including conjoined twins, a high prevalence of discordancy for fetal structural anomalies (the former and possibly also the latter resulting from consequences of the twinning process), and cord entanglement. We present a case in which monoamniotic twins at first-trimester transvaginal sonography were confirmed by color Doppler imaging as having entangled umbilical cords.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Fetal Death</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Management. Prenatal diagnosis</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnostic imaging</subject><subject>Pregnancy Trimester, First</subject><subject>Pregnancy, Multiple</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Twins</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Ultrasonography, Prenatal</subject><subject>Umbilical Cord - diagnostic imaging</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMFuGyEURVHUKnGdfEGkajbtblwew8B418pO2lSxsrHXCBjGwmLAhbEs7_oJ-cZ8SRnZUrZFDyHg3svjIHQPeMYbVn3bHfoZwZjMCMwgV4X5FZpAXeNyzqD6gCaY8KakZM5v0KeUdlmLgdNrdAOEQsM5mSC7tHLrQ7KpCF2x6ZV1VktXLEJsiwc_SL91pjd-GK9XwQfZexsGq4v10fpUqFPxaGMa3v6-rqPtTRpMzGYXYrEM-73Lu6debq3f3qKPnXTJ3F3WKdo8PqwXv8rnl59Pix_PpaY15SVVDVZYG0WrhkjdmbYzUGOplWo1ZUS2jAIHJmvFSM20ZMw0RBvO5rXWuqum6Os5dx_Dn0NuSPQ2aeOc9CYckuCE1RXkOUXVWahjSCmaTuzzD2Q8CcBiJCwyYTESFgQE5MqEs-vzJf6getO-ey5Is-DLRSBTJtlF6bVN7zoKc1LxMej7WXe0zpz-523xe7MajwjkMfbyD4Nrmhc</recordid><startdate>200211</startdate><enddate>200211</enddate><creator>Sherer, David M.</creator><creator>Sokolovski, Margarita</creator><creator>Haratz-Rubinstein, Nathan</creator><general>American Institute of Ultrasound in Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200211</creationdate><title>Diagnosis of Umbilical Cord Entanglement of Monoamniotic Twins by First‐Trimester Color Doppler Imaging</title><author>Sherer, David M. ; Sokolovski, Margarita ; Haratz-Rubinstein, Nathan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4547-4b80b0ceb4382acfedfe150acbbdc462ad641716a5b6256ca66e82ce7695cccf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Fetal Death</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Management. Prenatal diagnosis</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnostic imaging</topic><topic>Pregnancy Trimester, First</topic><topic>Pregnancy, Multiple</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Twins</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Ultrasonography, Prenatal</topic><topic>Umbilical Cord - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sherer, David M.</creatorcontrib><creatorcontrib>Sokolovski, Margarita</creatorcontrib><creatorcontrib>Haratz-Rubinstein, Nathan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sherer, David M.</au><au>Sokolovski, Margarita</au><au>Haratz-Rubinstein, Nathan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis of Umbilical Cord Entanglement of Monoamniotic Twins by First‐Trimester Color Doppler Imaging</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2002-11</date><risdate>2002</risdate><volume>21</volume><issue>11</issue><spage>1307</spage><epage>1309</epage><pages>1307-1309</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><coden>JUMEDA</coden><abstract>Monoamniotic twins occur in approximately 5% of monochorionic twin gestations as a result of splitting of the inner cell mass at 8 or more days after fertilization, and they are associated with high perinatal mortality rates, ranging between 28% and 47%. These gestations have unique pathologic conditions, including conjoined twins, a high prevalence of discordancy for fetal structural anomalies (the former and possibly also the latter resulting from consequences of the twinning process), and cord entanglement. We present a case in which monoamniotic twins at first-trimester transvaginal sonography were confirmed by color Doppler imaging as having entangled umbilical cords.</abstract><cop>Laurel, MD</cop><pub>American Institute of Ultrasound in Medicine</pub><pmid>12418772</pmid><doi>10.7863/jum.2002.21.11.1307</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Female Fetal Death Gynecology. Andrology. Obstetrics Humans Management. Prenatal diagnosis Medical sciences Pregnancy Pregnancy Complications - diagnostic imaging Pregnancy Trimester, First Pregnancy, Multiple Pregnancy. Fetus. Placenta Twins Ultrasonography, Doppler, Color Ultrasonography, Prenatal Umbilical Cord - diagnostic imaging |
title | Diagnosis of Umbilical Cord Entanglement of Monoamniotic Twins by First‐Trimester Color Doppler Imaging |
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