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Prenatal diagnosis of anatomical connections in conjoined twins by use of contrast magnetic resonance imaging
Author(s) -
Zoppini Cinzia,
Vanzulli Angelo,
Kustermann Alessandra,
Rizzuti Tommaso,
Selicorni Angelo,
Nicolini Umberto
Publication year - 1993
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.1970131015
Subject(s) - conjoined twins , medicine , magnetic resonance imaging , anastomosis , autopsy , radiology , prenatal diagnosis , gestation , pregnancy , gadolinium , ultrasonography , fetus , stomach , contrast (vision) , nuclear medicine , anatomy , surgery , pathology , genetics , materials science , biology , metallurgy , artificial intelligence , computer science
Abstract Omphalopagus conjoined twins were diagnosed by ultrasonography in a pregnant woman at 21 weeks' gestation. In order to clarify the anatomical connections, magnetic resonance imaging (MRI) was performed, having achieved fetal paralysis by intravascular injection of 100 mg of pancuronium into each twin. Prior to MRI, 2 ml of a 0.0001 mmol/ml solution of gadolinium DTPA was also injected into the stomach of one twin. The contrast agent opacified the bowel loops of both twins, indicating bowel to bowel anastomosis. Following pregnancy termination, autopsy confirmed the prenatal diagnosis.