ArticleBMJ case reports2026
Emergency double McDonald cerclage in twin gestation with single fetal death and simultaneous prolapse of both amniotic sacs.
Article in BMJ case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Before standardized terminology: a historical and technical perspective on early Korean modified double-level transvaginal cerclage.Frontiers in surgery · 2026Article
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2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
A woman in her mid-30s at 24+5 weeks of a dichorionic diamniotic twin pregnancy with single intrauterine fetal demise presented with simultaneous prolapse of both amniotic sacs into the vagina and a 3 cm dilated cervix. She underwent ultrasound-guided amnioreduction and an emergency double McDonald cerclage using two Ethibond #2 sutures placed 1 cm apart. The pregnancy was successfully prolonged to 36+5 weeks, resulting in caesarean delivery of a healthy neonate weighing 2220 g and the demised co-twin. This case is unique, as it provides the first documented clinical and ultrasound images of simultaneous prolapse of both sacs in a twin pregnancy successfully managed by double cerclage.
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