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 language | English |
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Pages (from-to) | 639-644 |
Number of pages | 6 |
Journal | Pediatric Pathology and Laboratory Medicine |
Volume | 17 |
Issue number | 4 |
DOIs | |
Publication status | Published - 1997 |
Externally published | Yes |
ASJC Scopus Subject Areas
- Pediatrics, Perinatology, and Child Health
- Pathology and Forensic Medicine
PubMed: MeSH publication types
- Case Reports
- Journal Article
- Review