Acardius acormus: an atypical presentation in twin pregnancy. A literature review

Authors

  • María Mónica Cruz-Hernández
  • Juan Luis Jaramillo-Valencia
  • Natasha Mejía-García
  • Jorge Hernán Gutiérrez-Marín
  • José Enrique Sanín-Blair

DOI:

https://doi.org/10.18597/rcog.322

Keywords:

placenta, foetus, pregnancy complication, case report

Abstract

Objective: presenting a case of a foetal arcadia occurring in monochorionic biamniotic twin pregnancy for reviewing its diagnosis and treatment.

Case presentation: this is a case report of an acardiusacormus foetusoccurringinamonochorionic twin pregnancy diagnosed at week 21 + 4 days and its clinical follow-up.

Methodology: the patient’s clinical history and diagnostic test results were reviewed. This was followed by a literature search using PubMed and SciELO medical databases.

Results: a literature review was made regarding this atypical case; 30 interesting reports were found. Fifteen articles were selected: 9 review articles, 2 case reports, 3 case series and 1 epidemiology note.

Conclusions: foetal arcadia is one of the rare complications of monochorionic twin pregnancy and its complication rate is due to placental vascular communications. Early diagnosis and surveillance in this case probably led to a good perinatal outcome.

Author Biographies

María Mónica Cruz-Hernández

Estudiantes de X Semestre de Medicina, Universidad Pontificia Bolivariana. Medellín (Colombia).

Juan Luis Jaramillo-Valencia

 Estudiante de XI Semestre de Medicina, Universidad Pontificia Bolivariana. Medellín (Colombia).

 

Natasha Mejía-García

Estudiantes de X Semestre de Medicina, Universidad Pontificia Bolivariana. Medellín (Colombia).

Jorge Hernán Gutiérrez-Marín

Especialista en Medicina Materno-Fetal. Profesor de la Universidad Pontificia Bolivariana. Coordinador de la Unidad de Alto Riesgo Obstétrico, Clínica Universitaria Bolivariana. Medellín (Colombia). 

José Enrique Sanín-Blair

Especialista en Medicina Materno-Fetal. Profesor de la Universidad Pontificia Bolivariana. Coordinador de la Unidad de Alto Riesgo Obstétrico, Clínica Universitaria Bolivariana. Medellín (Colombia). 

References

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How to Cite

1.
Cruz-Hernández MM, Jaramillo-Valencia JL, Mejía-García N, Gutiérrez-Marín JH, Sanín-Blair JE. Acardius acormus: an atypical presentation in twin pregnancy. A literature review. Rev. colomb. obstet. ginecol. [Internet]. 2009 Dec. 20 [cited 2024 May 10];60(4):382-6. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/322

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Published

2009-12-20
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