To our knowledge, until 1988, the year we performed our operation, only six other cases of ischiopagus tripus conjoined twins had been separated in the world. In our case, operated on in October 1988, one twin remained in a vegetative state after an episode of acute and dramatic encephalitis. However, the separation was successfully performed and now, 3 years after the operation, the two continue to live. The particularities of this case and the factors that made the separation successful are reported.
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Surgical Correction of Ischiopagus Tripus Conjoined Twins with Fused Pelvis: Enhancing Quality of Life through Orthopedic Intervention.
Am J Case Rep
May 2024
Division of Orthopedics and Traumatology, Department of Surgery, Sardjito General Hospital/Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
BACKGROUND The rarity of ischiopagus tripus conjoined twins complicates the surgical separation, owing to the lack of cases and high complexity. We aim to report our experience in performing orthopedic correction for ischiopagus tripus twins. CASE REPORT A pair of 3-year-old conjoined boys presented with a fused body at the pelvis region and only 1 umbilicus.
View Article and Find Full Text PDFConjoined twins are identical twins joined in utero and are a rare phenomenon. This report discusses a case of female thoraco-omphalo-ischiopagus tripus conjoined twins. The twins were separated at age two, and once medically stable, spent one month in inpatient rehabilitation to improve their sitting balance and gross motor skills.
View Article and Find Full Text PDFRehabilitation of Conjoined Twins Pre- and Postsurgical Separation.
Phys Occup Ther Pediatr
May 2017
b Physical Therapy Program, The University of Findlay, Findlay , Ohio , USA.
Purpose: Describe the rehabilitation, including two episodes of inpatient rehabilitation, early intervention, and outpatient services, of conjoined twins.
Case Description: The patients were 14-month-old female ischiopagus tripus twins that received 3 months of rehabilitation (mobility, feeding, communication, developmental skill training, developing adaptive equipment, educating caregivers) preseparation surgery. Surgery occurred at 24 months.
Orthopedic aspects of separation.
Semin Pediatr Surg
October 2015
Great Ormond Street Hospital for Children NHS Trust, London WC1N 3JH, UK. Electronic address:
In the management of conjoined twins the orthopedic surgeon may be involved directly, as part of the surgical team at operation or indirectly, in dealing with associated anomalies or the sequelae of surgery. The overwhelming indication for orthopedic involvement is ischiopagus, either tripus or tetrapus. The main role of the orthopedic surgeon is to facilitate midline closure through the use of pelvic osteotomies, which allow the symphysis pubis to be approximated.
View Article and Find Full Text PDFIschiopagus tripus conjoined twins in a western lowland gorilla (Gorilla gorilla).
J Comp Pathol
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Institute for Veterinary Medicine, Georg August University Goettingen, Burckhardtweg 2, 37077 Goettingen, Germany.
Conjoined twinning is rare in man and non-human primates. The current report describes a case of ischiopagus tripus conjoined Western Lowland gorilla (Gorilla gorilla) twins. The female twins were joined at the umbilical and pelvic region, involving the liver, xiphoid, umbilicus, body wall and skin.
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