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Human Reproduction, Vol. 15, No. 6, 1413-1415, June 2000
© 2000 European Society of Human Reproduction and Embryology

First trimester diagnosis of conjoined twins in a triplet pregnancy after IVF and ICSI: Case report

Y. Goldberg, I. Ben-Shlomo, E. Weiner and E. Shalev1

Department of Obstetrics and Gynecology, HaEmek Medical Center, Afula and the Rappaport School of Medicine, Technion – Israel Institute of Technology, Haifa, Israel

A case of conjoined twins in a triplet pregnancy after in-vitro fertilization and intracytoplasmic sperm injection is described. The diagnosis was made by high-resolution vaginal sonography, as early as the eighth week of gestation. The third fetus, of different chorionicity, was normal. Selective termination was successfully done at 12 weeks. The possible association between assisted reproduction and conjoined twinning is discussed. The importance of expert early vaginal sonography of pregnancy resulting from assisted reproduction technology is emphasized.

Key words: assisted reproduction/chorionicity/fetal malformation/twins conjoined/twins monozygotic

1 To whom correspondence should be addressed at: Department of Obstetrics and Gynecology, HaEmek Medical Centre, Afula 18101, Israel. E-mail: shaleve{at}tx.technion.ac.il


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