Successful separation of xypho-omphalopagus conjoined twins with extrauterine twin-twin transfusion syndrome: a case report

Conjoined twining is a rare medical phenomenon, with an overall prevalence of 1.47 per 100 000 births. This report describes a successful separation of xypho-omphalopagus conjoined twins complicated by unbalanced blood shunting through the porto-systemic anastomoses within the shared liver parenchym...

Descripción completa

Detalles Bibliográficos
Autores principales: Grizelj, Ruža, Sindičić Dessardo, Nada, Bulić, Krešimir, Luetić, Tomislav, Mikulić, Danko, Antabak, Anko, Sjekavica, Ivica, Alduk, Ana Marija, Konosić, Sanja, Režek Tomašić, Karolina, Ćaleta, Tomislav, Pleško, Sanja, Šarić, Dalibor, Vuković, Jurica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Croatian Medical Schools 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734570/
https://www.ncbi.nlm.nih.gov/pubmed/31483115
http://dx.doi.org/10.3325/cmj.2019.60.301
Descripción
Sumario:Conjoined twining is a rare medical phenomenon, with an overall prevalence of 1.47 per 100 000 births. This report describes a successful separation of xypho-omphalopagus conjoined twins complicated by unbalanced blood shunting through the porto-systemic anastomoses within the shared liver parenchyma. Significant extrauterine twin-twin transfusion syndrome caused by unbalanced shunting is an extremely rare, and probably under-recognized, hemodynamic complication in conjoined twins necessitating urgent separation. Progressive deterioration with a poor outcome can be prevented if the condition is recognized in a timely manner.

Ejemplares similares