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Rare spontaneous monochorionic dizygotic twins: a case report and a systematic review.


ABSTRACT:

Background

Monochorionic dizygotic twins are a rare condition, mostly related to assisted reproductive technology. This type of twinning is burdened by the same risk of pregnancy complications found in monochorionic monozygotic pregnancies.

Case presentation

We report a case of spontaneous monochorionic dizygotic twins sharing situs inversus abdominalis and isolated levocardia, with only one twin affected by biliary atresia with splenic malformation syndrome. We also conducted a literature review of the 14 available documented monochorionic dizygotic twin gestations spontaneously conceived.

Conclusions

It is still unclear how this unusual type of twinning can occur in spontaneous conception. The evidence so far suggest the importance to timely diagnose the chorionicity, in order to adequately manage the typical complications associated with monochorionicity.

SUBMITTER: Trombetta G 

PROVIDER: S-EPMC9284757 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Rare spontaneous monochorionic dizygotic twins: a case report and a systematic review.

Trombetta Giulia G   Fabbro Dora D   Demori Eliana E   Driul Lorenza L   Damante Giuseppe G   Xodo Serena S  

BMC pregnancy and childbirth 20220714 1


<h4>Background</h4>Monochorionic dizygotic twins are a rare condition, mostly related to assisted reproductive technology. This type of twinning is burdened by the same risk of pregnancy complications found in monochorionic monozygotic pregnancies.<h4>Case presentation</h4>We report a case of spontaneous monochorionic dizygotic twins sharing situs inversus abdominalis and isolated levocardia, with only one twin affected by biliary atresia with splenic malformation syndrome. We also conducted a l  ...[more]

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