Type Of Study: Case report.
Setting: GEST IVF, Centre of Reproductive Medicine, Prague.
Methods: The case report describes pregnancy after IVF + ET. The first trimester ultrasound scan showed monochorionic biamniotic twins with one common yolk sac (YS) only, which is possible in biamniotic twins, but very rare. Identical congenital defects such as anal, coccygeal atresia, and others, were diagnosed prenatally and postnatally in both twins.
Conclusion: Yolk sac number in monochorionic twins can play an important role in embryogenesi. Any possible relation with certain congenital defects has not yet been described. It is necessary to describe more cases.
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Cureus
July 2024
Obstetrics and Gynecology, Unidade Local de Saúde (ULS) de Coimbra, Coimbra, PRT.
Ovarian hyperstimulation syndrome (OHSS) is a complication of ovulation induction. Deep vein thrombosis (DVT) can occur as a consequence of this syndrome, but it is an infrequent event. The authors describe the case of a woman who became pregnant after ovulation induction and developed severe OHSS and, subsequently, DVT of the right brachiocephalic trunk, internal and external jugular veins, and right subclavian vein.
View Article and Find Full Text PDFFront Endocrinol (Lausanne)
July 2024
Hôpital Universitaire Necker - Enfants malades, Reference centre for inherited metabolic diseases, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France Rare diseases network G2M, MetabERN, Paris Cité University, Paris, France.
We present the case of a 36-year-old female who was diagnosed at birth with CHI that caused severe hypoglycaemia unresponsive to Diazoxide. Subtotal pancreatectomy was performed at the age of three weeks. Later, histological analysis of her pancreas in a research setting revealed a focal form of CHI.
View Article and Find Full Text PDFZ Geburtshilfe Neonatol
April 2024
Department for Gynecology and Obstetrics, University of Tuzla Faculty of Medicine, Tuzla, Bosnia and Herzegovina.
We describe the case of the lethal full trisomy (T) 14 in a fetus from bichorionic biamniotic (BCBA) twin pregnancy. This is a case of a 28-year-old primigravida, with an unremarkable personal and family history, who just like her 30-year-old husband, was without consanguinity between spouses. She conceived spontaneously, without a burdened gynecological-obstetric history.
View Article and Find Full Text PDFGynecol Obstet Fertil Senol
March 2023
Department of Gynecology and Obstetrics, University Hospital of South Reunion Island, BP 350, 97448 Saint-Pierre cedex, France; CEPOI, Perinatal Center of Study of the Indian Ocean, Faculty of Medicine, University Hospital of South Reunion Island, 97448 Saint-Pierre, France.
Objective: Complicated monochorionic biamniotic (MCBA) twin pregnancies may require treatment with fetoscopic laser photocoagulation, in case of Twin Oligo-Polyhydramnios Sequence or need of a selective termination of pregnancy. Patients requiring these treatments would need medical transfer to Metropolitan France because these are unavailable in Réunion Island. We evaluated the outcomes of MCBA pregnancies in Reunion Island with indications for fetoscopy, with a view to discussing the interest of training doctors on the Reunion Island, to practice fetoscopy on site.
View Article and Find Full Text PDFGynecol Obstet Fertil Senol
February 2023
Service de gynécologie-obstétrique, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, 59, boulevard Pinel, 69500 Bron, France. Electronic address:
Objectives: To compare the mortality of monochorionic-monoamniotic (MCMA) and monochorionic-biamniotic (MCBA) twin pregnancies, from 14weeks of gestation to 28th day of life, before and after exclusion of major congenital malformations.
Methods: We conducted a retrospective cohort study in two level 3 maternity units of the Hospices civils de Lyon (France) including all patients with a monochorionic twin pregnancy between January 2013 and December 2020. We excluded TRAP sequences and conjoined twins.
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