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Transcervical embryoscopic diagnosis of conjoined twins in a ten-week missed abortion

✍ Scribed by Chang Sheng Yin; Wei-Hwa Chen; Roger You-Chi Wei; Chying-Chyuan Chan


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
135 KB
Volume
18
Category
Article
ISSN
0197-3851

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✦ Synopsis


Embryoscopic diagnosis of conjoined twins presenting with a missed abortion has never been reported. The morphological and pathological examinations, and the exact time of death in the conceptus of a missed abortion are seldom clearly delineated. The newly developed field of embryoscopy has created a new frontier in early embryonic/fetal visualization and is able to confirm the sonographic diagnosis. In this report, we used a transcervical endoscope to verify conjoined twins (thoraco-omphalopagus) in a 10-week missed abortion. Based on the size and the external features of the dead embryo, which exhibited developmental arrest at nine weeks and three days of menstrual age, we estimated that the embryo had died four days before examination. The whole procedure proceeded smoothly without any immediate complications.