Abstract
A pair of female thoraco-omphalopagus twins, with two pairs of lungs, common diaphragm and separate pleural cavities was separated at the age of 51/2 months after a parasitic relationship had developed between them. Before separation both the babies developed recurrent respiratory tract infection and frequent diarrhea. They were treated with medical therapy and made fit for anesthesia. The combined weight of the twins was 41/2 kg at birth and the combined weight at the time of separation was 91/2 kg. One baby was smaller in growth compared to the other baby. The closure of anterior abdominal wall was difficult in both babies. However, we could close it without use of any biodegrActable patches or tissue expander. Both the babies survived and are doing well after 3 months of separation.
References
Nicols BL, Blatter RJ, Rudolf AJ. General clinical management of thoraco-pagus twins.Conjoined Twins, Birth Defects, original article seriesVol III New York. The national foundation March of Dimes 1967: 38–51.
Hoyle RM. Surgical separation of conjoined twins.Surg Gynecol Obstet 1991; 170: 549–562.
Meyers RL, Matlak ME. Biliary tract anomalies in thoraco-omphalopagus conjoined twins.J Pediatr Surg 2002; 37: 1716–1719.
Margouleff D, Harper RG, Kenigsberg Ket al. Sequential scintiangiography of hepato-splenic system of xiphopagus conjoined twins.J Nud Med 1980; 21: 246–247.
Simpson JS. Separation of conjoined thoraco-pagus twins, with the report of an additional case.Can J Surg 1969; 12: 89–96.
Saing H, Mok EK, Tarn PKHet al. Problems in surgery of conjoined twins. Surgical rounds 1987; 10: 81–96.
Spitz L, Stings MD, Kiely EMet al. Separation of thoraco-omphalo-ischiopagus bipus conjoined twin.J Paediatr Surg1994; 29: 477–481.
Spitz L, Crabbe DC, Kiely EM. Separation of thoraco-omphalopagus conjoined twins with complex hepato-biliary anatomy.J Paediatr Surg 1997; 32: 787–789.
Aird I. Conjoined twin further observation.Brit Med J 1959;1: 1313–1315.
Jung PM. Successful separation of thoraco-omphalopagus and ischiopagus tetrapus twins in Korea.Paediatr Surg Int 1997; 12: 607–610.
M.A. El. Gohary-Siamese twins in the United Arab Emirates.Paediatr Surg Int 1998; 13: 154–157.
Spitz L, Kiely EM. Experience in the management of conjoined twins.Br J Surgery 2002; 89: 1188–1192.
Martinez L, Fernandez J, Lassalettaet al. The contribution of modern imaging to planning seperation strategies in conjoined twins.Eur J Paediatr Surg 2003; 13: 120–124.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ray, A.K., Mukherjee, N.N., Mukherjee, G. et al. Separation of thoraco-omphalopagus siamese twin. Indian J Pediatr 71, 755–757 (2004). https://doi.org/10.1007/BF02730669
Issue Date:
DOI: https://doi.org/10.1007/BF02730669