Thoraco Omphalopagus Conjoined Twins
On arrival in our hospital at the first 21 h after the birth of the thoraco omphalopagus conjoined twins we performed the initial assessment with ultrasound and found that the twins shared the liver but had separate.
Thoraco omphalopagus conjoined twins. 8 twin a and 7 twin b. Prenatal diagnosis by ultrasound was established at 26 weeks gestation. The separation of conjoined twins presents a unique challenge to pediatric surgeons because of its rarity.
Although omphalopagus twins have the best chances of survival adequate team management and preoperative planning is required. A recent theory postulates fusion of two embryonic discs as more of a cause for conjoined twinning than fission of a single embryonic plate. At 5 apgar scores were respectively.
Conjoined twins are a rare congenital anomaly of twinning which borders on monstrosity. The most common form of conjoined twins is fusion of the ante rior thorax and or abdomen referred to as thoracopagus ompha lopagus and thoraco omphalopagus as in our case which altogether constitutes 70 of conjoined twins 8 increased nuchal fold thicknesshasbeen documentedin multiplecases ofconjoined. For thoraco omphalopagus conjoined twins the degree of fusion of the hepatobiliary and heart can pose surgical challenge.
Of the various types of conjoined twins thoraco omphalopagus is a commonly occurring type. 8 increased nuchal fold thickness has been documented in multiple cases of conjoined twins. The largest series reported includes 17 sets of twins by spitz et al.
Approximately half are stillborn and an additional one third die within 24 hours most live births are female with a ratio of 3 1. 1 and 25 sets by cywes et al. The most common form of conjoined twins is fusion of the anterior thorax and or abdomen referred to as thoracopagus omphalopagus and thoraco omphalopagus as in our case which altogether constitutes 70 of conjoined twins.
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