we present unusual retained remnants of hidden conjoined twin of possible abdominal pagus after 21 years who presented with abdomenpain and incidentally have found his forbidden conjoined twin. he presented for many years with a palpable epigastric mass, and recent abdominal pain, early satiety, nausea and vomiting. the mass was a like deformed fetus weighing 815 gr who was anencephalic and dep...

inflammatory (Meloxicam, 30 ml) drugs were administered daily for 5 days. Antiseptic dressing of the surgical wound was done on alternate day using povidone iodine solution and sutures were removed on day 14 after the operation. All the treated animals recovered without any complication. After removal, all the conjoined twins were subjected to postmortem examination and it was observed that all...

BACKGROUND Within an 8-month period, an unprecedented and historical first in Queensland, Australia, the perioperative nurses were members of teams involved in the surgical separation of two sets of conjoined twins. Little is known about the (dis)stress that some of these perioperative nurses experienced nor how best to support them during such experiences. AIM The aim of this paper is to rep...

Given the associated intricacies associated with surgery and anesthetic management, the care of conjoined twins requires a multidisciplinary approach. Due to the complexity of these patients, anesthetic care may be required for radiologic imaging, placement of tissue expanders, insertion of permanent or temporary vascular access devices, and definitive separation surgery. We present a case of p...

mild congestive phenomena. In such cases it appears justifiable to rely upon physiotherapeutic measures while in bed, and early ambulation, to prevent venous thromboembolism. In the case of older patients with severe congestive failure, however, oral anticoagulant drug therapy can be expected to prevent venous thromboembolism after the second week, and such prophylaxis is clearly indicated if i...

In this paper, we propose a compositional semantics for DP coordination and VP coordination, using Synchronous Tree Adjoining Grammar (STAG). We take advantage of STAG’s capacity to provide an isomorphic derivation of semantic trees in parallel to syntactic ones, using substitution and adjoining in both syntax and semantics. In addition, we use unreduced λ-expressions in semantic elementary tre...

This case report presents the prenatal diagnosis of conjoined twins at 7 weeks and 6 days' gestation according to the last menstrual period and 6 weeks and 4 days' gestation according to crown-rump length in a 32-year-old Turkish woman, using two-dimensional Doppler ultrasound. The twins were fused to each other at the thoracic region (thoracopagus). In the light of previous reports of conjoine...

Siamese or conjoined twins have intrigued both the physician and layperson for centuries. The craniopagus type (joined at the head) is exceedingly rare, with an incidence of one in 2.5 million births. Most clinicians never see a case of craniopagus, and those who do rarely see more than one. The authors present a case of the craniopagus type of conjoined twins born and recently separated in Bri...

The aetiology of conjoined twins is unknown with no established risk factors. The pathogenesis is also uncertain but if cell differentiation takes place after the 14th day of embryonic development, incomplete cleavage will result in the formation of conjoined twins. A system of classification established by St Hiliaire in 1832 is still used today and is based on which structures are fused. The ...

Dr. Fadel’s response: Conjoined twins is a serious problem, and it is also very variable one. There are many different degrees of conjoined twins. Some of them can be easily separated, while others are very difficult or impossible to separate. Success depends on the particular way they are conjoined; therefore, there is no one answer to this question. Successful separation depends on the extent...