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Separation of thoraco-omphalopagus siamese twin

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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.

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References

  1. 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.

  2. Hoyle RM. Surgical separation of conjoined twins.Surg Gynecol Obstet 1991; 170: 549–562.

    Google Scholar 

  3. Meyers RL, Matlak ME. Biliary tract anomalies in thoraco-omphalopagus conjoined twins.J Pediatr Surg 2002; 37: 1716–1719.

    Article  PubMed  Google Scholar 

  4. Margouleff D, Harper RG, Kenigsberg Ket al. Sequential scintiangiography of hepato-splenic system of xiphopagus conjoined twins.J Nud Med 1980; 21: 246–247.

    CAS  Google Scholar 

  5. Simpson JS. Separation of conjoined thoraco-pagus twins, with the report of an additional case.Can J Surg 1969; 12: 89–96.

    PubMed  CAS  Google Scholar 

  6. Saing H, Mok EK, Tarn PKHet al. Problems in surgery of conjoined twins. Surgical rounds 1987; 10: 81–96.

    Google Scholar 

  7. Spitz L, Stings MD, Kiely EMet al. Separation of thoraco-omphalo-ischiopagus bipus conjoined twin.J Paediatr Surg1994; 29: 477–481.

    Article  CAS  Google Scholar 

  8. Spitz L, Crabbe DC, Kiely EM. Separation of thoraco-omphalopagus conjoined twins with complex hepato-biliary anatomy.J Paediatr Surg 1997; 32: 787–789.

    Article  CAS  Google Scholar 

  9. Aird I. Conjoined twin further observation.Brit Med J 1959;1: 1313–1315.

    Article  PubMed  CAS  Google Scholar 

  10. Jung PM. Successful separation of thoraco-omphalopagus and ischiopagus tetrapus twins in Korea.Paediatr Surg Int 1997; 12: 607–610.

    CAS  Google Scholar 

  11. M.A. El. Gohary-Siamese twins in the United Arab Emirates.Paediatr Surg Int 1998; 13: 154–157.

    Article  Google Scholar 

  12. Spitz L, Kiely EM. Experience in the management of conjoined twins.Br J Surgery 2002; 89: 1188–1192.

    Article  CAS  Google Scholar 

  13. 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.

    Article  CAS  Google Scholar 

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Correspondence to A. K. Ray.

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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

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