case_images: PMC3515936_01
case_images: Sonogram of Case 1 recipient twin demonstrates well-developed lower limbs, partially developed abdomen and thorax, absent head and upper limbs and diffuse soft tissue edema.
case_images: JCIS-2-56-g002.jpg
case_images: PMC3515936_01_JCIS-2-56-g002.jpg
case_images: F1
case_images: Heart was absent, head and face were absent, and upper limbs were absent [Figure 1].
case_images: Sonogram of Case 1 recipient twin demonstrates thickened soft tissue along the dorsal aspect suggestive of cystic hygroma.
case_images: JCIS-2-56-g003.jpg
case_images: PMC3515936_01_JCIS-2-56-g003.jpg
case_images: F2
case_images: Cystic hygroma with diffuse soft tissue edema [Figure 2] and single umbilical artery [Figure 3] with reversal of flow [Figure 4] were detected.
case_images: Color Doppler sonographic image of Case 1 demonstrates two vessel umbilical cords with single umbilical artery.
case_images: JCIS-2-56-g004.jpg
case_images: PMC3515936_01_JCIS-2-56-g004.jpg
case_images: F3
case_images: Cystic hygroma with diffuse soft tissue edema [Figure 2] and single umbilical artery [Figure 3] with reversal of flow [Figure 4] were detected.
case_images: Pulsed Doppler sonographic image of Case 1 demonstrates reversal of flow in the umbilical artery.
case_images: JCIS-2-56-g005.jpg
case_images: PMC3515936_01_JCIS-2-56-g005.jpg
case_images: F4
case_images: Cystic hygroma with diffuse soft tissue edema [Figure 2] and single umbilical artery [Figure 3] with reversal of flow [Figure 4] were detected.
case_images: PMC3515936_02
case_images: Sonogram of Case 2 recipient twin demonstrates well-developed lower limbs with diffuse soft tissue edema.
case_images: JCIS-2-56-g006.jpg
case_images: PMC3515936_02_JCIS-2-56-g006.jpg
case_images: F5
case_images: The recipient twin had well-developed lower limbs that were directed posteriorly [Figure 5], underdeveloped abdomen with absent anterior abdominal wall, underdeveloped chest with hypoplastic ribs, absent cardia, underdeveloped upper limbs with single forearm bone, oligodactyly and club hand [Figure 6], cystic hygroma with diffuse soft tissue edema [Figure 7], microcephaly with dilated lateral and third ventricles [Figure 7], bilateral cleft lip/palate, and single umbilical artery with reversal of flow in umbilical vessels.
case_images: Sonogram of Case 2 recipient twin demonstrates club hand.
case_images: JCIS-2-56-g007.jpg
case_images: PMC3515936_02_JCIS-2-56-g007.jpg
case_images: F6
case_images: The recipient twin had well-developed lower limbs that were directed posteriorly [Figure 5], underdeveloped abdomen with absent anterior abdominal wall, underdeveloped chest with hypoplastic ribs, absent cardia, underdeveloped upper limbs with single forearm bone, oligodactyly and club hand [Figure 6], cystic hygroma with diffuse soft tissue edema [Figure 7], microcephaly with dilated lateral and third ventricles [Figure 7], bilateral cleft lip/palate, and single umbilical artery with reversal of flow in umbilical vessels.
case_images: Sonogram of Case 2 recipient twin demonstrates diffuse soft tissue edema and cystic hygroma (arrow).
case_images: JCIS-2-56-g008.jpg
case_images: PMC3515936_02_JCIS-2-56-g008.jpg
case_images: F7
case_images: The recipient twin had well-developed lower limbs that were directed posteriorly [Figure 5], underdeveloped abdomen with absent anterior abdominal wall, underdeveloped chest with hypoplastic ribs, absent cardia, underdeveloped upper limbs with single forearm bone, oligodactyly and club hand [Figure 6], cystic hygroma with diffuse soft tissue edema [Figure 7], microcephaly with dilated lateral and third ventricles [Figure 7], bilateral cleft lip/palate, and single umbilical artery with reversal of flow in umbilical vessels.
case_images: Specimen of Case 2 recipient twin demonstrates microcephaly, cystic hygroma, bilateral cleft lip, club hand, under developed chest and omphalocele.
case_images: JCIS-2-56-g009.jpg
case_images: PMC3515936_02_JCIS-2-56-g009.jpg
case_images: F8
case_images: A healthy male twin (pump twin) weighing 2.03 kg and an anomalous twin (recipient) were delivered [Figure 8].