{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:21:55Z","timestamp":1756383715043,"version":"3.44.0"},"reference-count":28,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,3,30]]},"abstract":"<jats:p>Body-stalk anomaly is a sporadic and rare maldevelopment disorder characterised by large abdominal wall defect, spinal deformity and rudimentary umbilical cord. It is considered a lethal condition as there are only few reports of survival but there was at least one case of long-term survival after neonatal surgery.<\/jats:p>\n               <jats:p>Differential diagnosis includes isolated omphalocele or gastroschisis, short umbilical cord, amniotic band, limb body-wall complex and other polymalformative syndromes.<\/jats:p>\n               <jats:p>There are few reports about the expectant prenatal management of the body stalk anomaly as the majority of prenatal diagnosed cases undergo early elective termination. Twin pregnancies discordant for the anomaly represent a challenge to prenatal management as a healthy fetus should also be considered.<\/jats:p>\n               <jats:p>We describe a case of dichorionic-diamniotic twins discordant for body stalk anomaly which underwent selective feticide of the affected fetus late in pregnancy, in accordance with parents\u2019 decision focused on the neonatal well-being of the unaffected twin.<\/jats:p>","DOI":"10.1136\/bcr-2017-223825","type":"journal-article","created":{"date-parts":[[2018,5,12]],"date-time":"2018-05-12T03:35:18Z","timestamp":1526096118000},"page":"bcr-2017-223825","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Dichorionic twins discordant for body-stalk anomaly: a management challenge"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3970-1595","authenticated-orcid":false,"given":"Rita","family":"Caldas","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Centro Hospitalar de Entre o Douro e Vouga EPE, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e1tia","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Pina","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosete","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Department of Pathology, CGC Genetics Centro de Genetica Clinica, Porto, Portugal"},{"name":"Department of Pathology, Life and Health Sciences Research Domain (ICVS), School of Medicine, University of Minho, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,5,12]]},"reference":[{"key":"2025082703380436000_2018.may09_1.bcr-2017-223825.1","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1159\/000444299","article-title":"Ultrasound features and management of body stalk anomaly","volume":"40","author":"Panaitescu","year":"2016","journal-title":"Fetal Diagn Ther"},{"key":"2025082703380436000_2018.may09_1.bcr-2017-223825.2","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1055\/s-2007-962942","article-title":"Prenatal ultrasound assessment and fetal heart monitoring: analysis of dizygotic twins discordant for body stalk anomaly in the third trimester of pregnancy","volume":"28","author":"Hrgovic","year":"2007","journal-title":"Ultraschall Med"},{"key":"2025082703380436000_2018.may09_1.bcr-2017-223825.3","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1080\/14767050802213941","article-title":"Body stalk anomaly: management of two dichorionic-diamniotic pregnancies","volume":"21","author":"Spiller","year":"2008","journal-title":"J Matern Fetal Neonatal Med"},{"key":"2025082703380436000_2018.may09_1.bcr-2017-223825.4","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1002\/uog.84","article-title":"Prenatal ultrasound diagnosis and management of body stalk anomaly: analysis of nine singleton and two multiple pregnancies","volume":"21","author":"Smrcek","year":"2003","journal-title":"Ultrasound Obstet Gynecol"},{"key":"2025082703380436000_2018.may09_1.bcr-2017-223825.5","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.1320280302"},{"key":"2025082703380436000_2018.may09_1.bcr-2017-223825.6","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1046\/j.1469-0705.2002.00631.x","article-title":"Monozygotic twins discordant for body stalk anomaly","volume":"20","author":"Daskalakis","year":"2002","journal-title":"Ultrasound Obstet Gynecol"},{"key":"2025082703380436000_2018.may09_1.bcr-2017-223825.7","doi-asserted-by":"crossref","unstructured":"Mehedintu C , Vladareanu S , Bratila E , et al . 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