A Triple Obstetric Challenge of Thoracopagus-Type Conjoined Twins, Eclampsia, and Obstructed Labor: A Case Report from Sub-Saharan Africa
Joint Authors
Bramlage, Peter
Leigh, Mariatu Binta
John-Cole, Valerie
Kamara, Mike
Koroma, Alimamy Philip
Koroma, Michael Momoh
Emuveyan, Edward Ejiro
Buschmann, Ivo
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-05
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Conjoined twins are very rarely seen.
We present a case of thoracopagus that was undiagnosed prior to delivery and combined with eclampsia and obstructed labor in a low-resource setting in sub-Saharan Africa.
A 27-year-old pregnant woman was presented to the maternity emergency unit of Princess Christian Maternity Hospital (PCMH) in Freetown at term in labor.
Upon admission, the patient was awake and orientated and presented a blood pressure of 180/120 mmHg and a protein value of 3+ on urine dipstick test.
Clinical examination—ultrasound was not available—led to the admission diagnosis: obstructed labor with intrauterine fetal death and preeclampsia.
Application of Hydralazine 5 mg (i.v.) under close blood pressure monitoring was performed.
Under spontaneous progression of labor, one head of the yet unknown conjoined twin was born.
The patient developed eclamptic fits.
Ceasing of seizures was achieved after implementing the loading dose of the MgSO4 protocol.
A vaginal examination led to the unexpected diagnosis of conjoined twins.
An emergency cesarean section under general anesthesia via a longitudinal midline incision was performed immediately.
The born head was repositioned vaginally.
The stillborn conjoined twins presented a female thoracopagus type that seemed to involve the heart.
After 8 weeks, the woman was clinically fully recovered.
American Psychological Association (APA)
Leigh, Mariatu Binta& John-Cole, Valerie& Kamara, Mike& Koroma, Alimamy Philip& Koroma, Michael Momoh& Emuveyan, Edward Ejiro…[et al.]. 2017. A Triple Obstetric Challenge of Thoracopagus-Type Conjoined Twins, Eclampsia, and Obstructed Labor: A Case Report from Sub-Saharan Africa. Case Reports in Obstetrics and Gynecology،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1147459
Modern Language Association (MLA)
Leigh, Mariatu Binta…[et al.]. A Triple Obstetric Challenge of Thoracopagus-Type Conjoined Twins, Eclampsia, and Obstructed Labor: A Case Report from Sub-Saharan Africa. Case Reports in Obstetrics and Gynecology No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1147459
American Medical Association (AMA)
Leigh, Mariatu Binta& John-Cole, Valerie& Kamara, Mike& Koroma, Alimamy Philip& Koroma, Michael Momoh& Emuveyan, Edward Ejiro…[et al.]. A Triple Obstetric Challenge of Thoracopagus-Type Conjoined Twins, Eclampsia, and Obstructed Labor: A Case Report from Sub-Saharan Africa. Case Reports in Obstetrics and Gynecology. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1147459
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147459