title: Embryological, clinical and anatomopathological considerations on a very rare case of a bicephalous fetus (dicephalus dipus dibrachius).
abstract: In this paper, we present the very rare case of a 21 weeks pregnant woman, examined clinically and by ultrasound. We could observe the present of two heads and a common trunk and therefore we proceeded to the small caesarian of necessity. We examined the fetus from the clinical and pathological point of view and we could observe a rare case of pregnancy with a bicephalous malformed fetus. During the autopsy, we could reveal the common elements and the devised ones, which are described as it follows. The case is a very rare one and that probably explains the fact that until the 21 weeks examination, even if she was clinically and ultrasound examined there was the appreciation that it was a twin pregnancy with a normal evolution. In this case, it is necessary to underline that the difficulties concerning the diagnosis and the medical behavior are also because the patient was a primipara 34-year-old woman without any pathological or specific family history. This case analysis shows the necessity of a preconception genetic advice together with the extension of the analysis of the genetic risk in all mothers under 35-year-old, mandatory and supported by the medical system. At the same time, an ultrasound examination of great performance proves to be necessary in order not to prolong the development of a pathological pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Romania. patrascuanca@yahoo.com
authors.forename: Anca
authors.initials: A
authors.lastname: Pătraşcu
authors.forename: M R
authors.initials: MR
authors.lastname: Stănescu
authors.forename: V
authors.initials: V
authors.lastname: Gheorman
authors.forename: A M
authors.initials: AM
authors.lastname: Gogănău
authors.forename: Simona
authors.initials: S
authors.lastname: Ianoşi
authors.forename: D
authors.initials: D
authors.lastname: Camen
authors.forename: Cecilia
authors.initials: C
authors.lastname: Mitrulescu
authors.forename: Elena
authors.initials: E
authors.lastname: Ionescu
mesh_terms: D000025:Abortion, Eugenic; D000328:Adult; D001344:Autopsy; D005260:Female; D006801:Humans; D008297:Male; D011247:Pregnancy; D014428:Twins, Conjoined / Q000196:embryology* / Q000473:pathology*; D016216:Ultrasonography, Prenatal