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Prenatal diagnosis of megacystis-microcolon-intestinal hypoperistalsis syndrome in one fetus of a twin pregnancy.
[megacystis-microcolon-intestinal hypoperistalsis syndrome]
Megacystis-
microcolon
-
intestinal
hypoperistalsis
syndrome
(
MMIHS
)
is
a
rare
genetic
disorder
that
affects
the
muscle
tone
in
the
intestinal
and
urinary
tract
systems
.
Prenatal
diagnosis
is
difficult
because
an
identifiable
genetic
locus
is
absent
and
there
are
no
specific
ultrasound
findings
.
We
present
an
interesting
case
of
this
syndrome
diagnosed
prenatally
in
one
fetus
of
a
twin
pregnancy
.
A
26
-
year
-old
white
woman
gravida
4
,
para
2103
,
at
11
weeks
'
gestation
was
diagnosed
with
a
dichorionic
diamniotic
twin
pregnancy
.
The
patient
's
history
was
significant
for
having
a
previous
female
infant
diagnosed
with
MMIHS
.
During
a
follow-up
ultrasound
at
26
weeks
,
one
of
the
twins
had
multiple
anomalies
including
:
a
pelvic
cystic
structure
with
a
keyhole
appearance
,
enlarged
stomach
,
dilated
bowel
,
and
prominent
renal
pelves
.
Prenatal
diagnosis
of
MMIHS
can
be
possible
on
ultrasound
findings
with
a
positive
family
history
.
Diseases
Validation
Diseases presenting
"intestinal hypoperistalsis syndrome"
symptom
megacystis-microcolon-intestinal hypoperistalsis syndrome
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