Monoamniotic twins delivered liveborn with a forked umbilical cord

Robert B. Fraser, Robert M. Liston, Deborah L. Thompson, James R. Wright

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

Monoamniotic twins are rare and are associated with high intrauterine mortality rates. This case appears to represent the first report of liveborn monoamniotic monochorionic twins delivered with a bifurcated umbilical cord. Pathological and angiographic studies of the placenta demonstrated a marginally inserted two-vessel umbilical cord that bifurcated at 8.4 cm from the disk into three-vessel umbilical cords supplying each twin. This probably represents the last opportunity for cleavage of the embryo prior to the formation of conjoined twins. A review of eight prior reports of monoamniotic twins with a single, bifurcating umbilical cord is provided.

Original languageEnglish
Pages (from-to)639-644
Number of pages6
JournalPediatric Pathology and Laboratory Medicine
Volume17
Issue number4
DOIs
Publication statusPublished - 1997
Externally publishedYes

ASJC Scopus Subject Areas

  • Pediatrics, Perinatology, and Child Health
  • Pathology and Forensic Medicine

PubMed: MeSH publication types

  • Case Reports
  • Journal Article
  • Review

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