Objective: To analyze and summarize the medical treatment experience following separation of thoracopagus conjoined twins.
Method: The clinical manifestations and the medical therapy of a pair of thoracopagus conjoined twins were analyzed. The conjunction of the female twins was from 5 cm above the nipple to the umbilicus. They also suffered from complex congenital heart diseases. At the 17th day of their lives, they were surgically separated. One girl died after the operation, the other survived but experienced heart failure, sepsis and multiple organ dysfunction (including liver, blood and kidney et al). In order to protect or maintain the main organ function, the vital signs and the objective indexes were monitored continually, such as blood routine test, C reactive protein, hepatorenal function, bacterial culture, and galactomannan test, blood gas analysis and chest radiogram.
Conclusion: It is important to protect the main organ function and prevent or control infection. The early surgical correction of congenital heart disease may contribute to recovery of the children.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Thoraco-omphalopagus conjoined twins: comprehensive evaluation with sonography and MRI in first trimester-a rare imaging diagnosis.
BJR Case Rep
January 2025
Department of Radiodiagnosis and Imaging, B.P. Koirala Institute of Health Sciences, Dharan, 56700, Nepal.
Article Synopsis
- Conjoined twins, or Siamese twins, are a rare type of monochorionic twinning requiring specialized imaging for diagnosis and monitoring.
- Ultrasound is typically the first choice for screening, while MRI provides detailed anatomical information when needed.
- A case of first trimester thoraco-omphalopagus conjoined twins with cystic hygroma was thoroughly evaluated using both sonography and MRI, highlighting the importance of advanced imaging in accurate diagnosis.
The application value of prenatal ultrasound in conjoined twins.
J Clin Ultrasound
January 2025
Department of Ultrasound, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Objective: To evaluate the application and effectiveness of prenatal ultrasound in diagnosing and managing conjoined twins.
Methods: A retrospective analysis was conducted on 20 cases of conjoined twins diagnosed at our hospital between January 2016 and December 2022. The types of conjoined twins, ultrasonographic characteristics, and associated anomalies were assessed.
Monosymmetros Cephalothoracopagus Tetrabrachius and Tetrapus Piglets with Syndromic Evolution.
Animals (Basel)
July 2024
Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timișoara, Calea Aradului 119, 300645 Timișoara, Romania.
Article Synopsis
- The study presents two cases of thoracopagus conjoined twin piglets, both with unique congenital malformations, including features like anencephaly and palatoschisis.
- Case No. 1 shows severe skull and vertebral abnormalities, while Case No. 2 features a bifid root tongue and additional skeletal duplications.
- Both cases highlight the complexity of conjoined twins and contribute to veterinary medicine by increasing awareness of their varied clinical presentations and associated internal organ anomalies.
Monochorionic triplet pregnancy complicated by conjoined twins and early twin-twin transfusion syndrome.
Birth Defects Res
February 2024
Maternal-Fetal Medicine Unit, San Juan de Dios Hospital, Santiago, Chile.
Background: The condition of monozygotic, monochorionic triplet fetuses with a pair of conjoined twins is extremely rare (close to one in a million births), presents challenges in its management, and with poor prognosis.
Case Report: We report a case of monochorionic diamniotic triplet pregnancy, ultrasound at 14 weeks shows a pair of conjoined thoracopagus fetuses, sharing heart, liver, and umbilical cord, in addition to omphalocele. The third fetus, without malformations, presents signs of early heart failure compatible with twin-to-twin transfusion syndrome.
Thoraco-Omphalopagus Conjoined Twins: A Case Report.
Cureus
December 2023
Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
A conjoined twin is an uncommon congenital condition that has a very high morbidity and mortality prevalence. Identical twins united in utero are known as conjoined twins. It's an uncommon occurrence that poses a special difficulty for paediatric surgeons and obstetricians.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!