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  • Title: Monoamniotic twins discordant for anencephaly: diagnosis by CT amniography.
    Author: Wax JR, Smith JF, Floyd RC.
    Journal: J Comput Assist Tomogr; 1994; 18(1):152-4. PubMed ID: 8282870.
    Abstract:
    Prenatal diagnosis of monoamnionicity is necessary for optimal care of a twin gestation. When the fetuses are discordant for a lethal anomaly, unequivocal confirmation is imperative. Ultrasound evaluation of our patient revealed a twin gestation discordant for anencephaly and with possible monoamnionicity. When sonography was inconclusive, CT amniography confirmed a single amniotic cavity, permitting appropriate parental counseling and pregnancy management. CT amniography is a useful adjunct to ultrasound in evaluating twins discordant for a lethal anomaly when monoamnionicity is suspected.
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