Thoraco-omphalopagus twins: different perinatal circumstances, different outcome
نویسندگان
چکیده
Two pairs of omphalopagus twins were encountered at the Polish Mother's Health Institution in Lodz, Poland during the past 15 years. In the first set the prenatal diagnosis was not established and the delivery of the twins in a regional hospital was a complete surprise. Both babies died. In the second case the conjoined twins were diagnosed prenatally, surgical separation was successful, and both twins survived. The prenatal identification of conjoined twins is of cardinal importance for the planning of delivery and possible separation.
منابع مشابه
Early prenatal diagnosis of thoraco-omphalopagus twins at ten weeks of gestation by ultrasound
Early prenatal diagnosis of conjoined twins, an extreme form of monozygotic twinning, is very important for the further management and counselling of parents because they are associated with high perinatal mortality. We present a case of thoraco-omphalopagus twins diagnosed at ten weeks and four days of gestation by two-dimensional Doppler ultrasound, which was then terminated.
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Conjoined twins are a rare phenomenon of a monochorionic monoamniotic twin. The incidence varies from 1 in 50000 to 1 in 100000 live births [1,2]. Female foetuses are more commonly affected with the ratio of male to female being 1:3, particularly in thoracopagus type [3]. Five types of conjoint twins are classically described, Thoracopagus, Omphalopagus, Pygopagus, Ischiopagus and Craniopagus. ...
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Conjoined twins are derived from the division of a single fertilized ovum; a phenomenon accompanied with multiple congenital anomalies. Such twins are identical, of the same sex, and more likely to be female. Most twins die during the embryonic period, and only 18% survive longer than 24 hours. There are complex anomalies in thoraco-omphalopagus twins that makes them unlikely to live long enoug...
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PURPOSE To describe the perioperative assessment and anaesthetic management for surgical separation of three sets of conjoined twins with complex cardiac anomalies threatened with arterial desaturation and haemodynamic instability. CLINICAL FEATURES Three sets of conjoined twins, one omphaloischiopagus, one omphalopagus, and one thoraco-omphalopagus, were considered for separation during the ...
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