A case of thoraco-omphalo-ischiopagus bipus conjoined twins

MELIKOGLU M., Aslan A., METE A., OZKAYNAK C., INAN M., KARAVELI S.

JOURNAL OF PEDIATRIC SURGERY, cilt.32, sa.4, ss.656-658, 1997 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 4
  • Basım Tarihi: 1997
  • Doi Numarası: 10.1016/s0022-3468(97)90735-1
  • Dergi Adı: JOURNAL OF PEDIATRIC SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.656-658
  • Anahtar Kelimeler: conjoined twins, thoracopagus, omphalopagus, ischiopagus, SEPARATION
  • Akdeniz Üniversitesi Adresli: Evet

Özet

A case of thoraco-omphalo-ischiopagus bipus conjoined twins is reported. The twins shared a common lower chest and abdominal wall, a single pelvis and two lower extremities. Our initial approach was to determine the detailed anatomy of the viscera and then to outline a surgical plan. However, the twins' general condition gradually deteriorated, and the approach was not completely realized despite maximal supportive therapy for cardiorespiratory failure, After the death of the twins, it was detected that they had a single pericardial cavity, and shared an abdominal aorta and vena cava. Furthermore the right twin had Bochdalek hernia and left ventricular hypoplasia. Consequently, such cardiovascular pathologies, coupled with major additional anomalies, may threaten the twins' life, Therefore further management plans are required considering urgent surgical correction of the life-threatening anomalies before the definitive procedure. Copyright (C) 1997 by W.B. Saunders Company.