Monoamniotic twin pregnancy discordant for body stalk anomaly: a case report:

Alim  Swarray-Deen; Alex K  Boateng; Jeff  Osei-Agyapong; Perez  Sepenu; Benedicta O  Frimpong; Jerry  Coleman; Isaac  Koranteng

doi:10.46829/hsijournal.2022.12.3.2.406-410

Alim Swarray-Deen Department of Obstetrics and Gynaecology, University of Ghana Medical School, College of health Sciences, Accra, Ghana
Alex K Boateng Department of Obstetrics and Gynaecology, University of Ghana Medical School, College of health Sciences, Accra, Ghana
Jeff Osei-Agyapong Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana
Perez Sepenu Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana
Benedicta O Frimpong Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana
Jerry Coleman Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana
Isaac Koranteng Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana

DOI: https://doi.org/10.46829/hsijournal.2022.12.3.2.406-410

Keywords: Body stalk, anomaly, monochorionic, monoamniotic pregnancy, foetal ventral wall defect

Abstract

Body stalk anomaly, also known as limb-body syndrome, is a rare and lethal congenital anomaly. It presents a major abdominal wall defect and severe kyphosis with either a rudimentary or absent umbilical cord. We present a case of monoamniotic twin discordant for body stalk anomaly diagnosed at 27 weeks. Ultrasound findings demonstrated a normal Twin A, but Twin B was abnormal with a large ventral wall defect and severe kyphoscoliosis. The pregnancy was managed conservatively and concluded with an emergency caesarean section at 31 weeks on account of preterm labour. The unaffected twin survived with no significant morbidity. This case highlights some of the challenges posed to the obstetrician in managing such a rare anomaly in twin pregnancy.