alexa Female Thoraco-Omphalopagus Twins | OMICS International
ISSN: 2327-5146
General Medicine: Open Access
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Female Thoraco-Omphalopagus Twins

Amin El-Gohary M*
Department of Pediatric Surgery, Burjeel Hospital, Abu Dhabi, UAE
Corresponding Author : Amin El-Gohary M
FRCS, Professor of Pediatric Surgery
Burjeel Hospital, Abu Dhabi , UAE
Tel: 971506225532
E-mail: [email protected]
Received February 18, 2015; Accepted February 20, 2015; Published February 25, 2015
Citation: El-Gohary AM (2015) Thoraco-Omphalopagus Twins. Gen Med (Los Angel) 3:i103. doi: 10.4172/2327-5146.1000i103
Copyright: © 2015 El-Gohary AM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use,distribution, and reproduction in any medium, provided the original author and source are credited.
Related article at
DownloadPubmed DownloadScholar Google

Visit for more related articles at General Medicine: Open Access

Female thoraco-omphalopagus twins, also diagnosed antenatally, referred to Mafraq hospital at 34 weeks of gestation. They were delivered 1week later on 21 November 1988 by CS, the eighth pregnancy of a 35-year-old mother. They had extensive fusion of the chest walls and crowding of the mediastinal structures (Figure 1). The heart of twin A was inside the chest of twin B. They had to be mechanically ventilated soon after birth, and could be weaned to nasopharyngeal oxygen 1 month later. They shared a common liver, duodenum, and part of the upper jejunum. The two atria were in communication, with resultant massive cross-circulation.
Subcutaneous tissue expansion was started at the age of 50 days, but could not be progressed because twin B aspirated during a feed and sustained permanent brain damage. Unfortunately, twin B’s heart was the one in the normal anatomical position, and she therefore had the better prognosis. It was clear that if the other twin was to be saved, a premature attempt would have to be made to separate them; this was hampered by the parents’ refusal to sacrifice the brain-damaged twin. The operation was carried out at the age of 3 months by three surgical teams: cardiac, plastic, and pediatric.
The common jejunum was given to Twin A, and a jejuno-jejunostomy established continuity in twin B. The atrial communication was easily closed by the cardiac team. The ectopia cordis of twin A presented a more formidable problem that was addressed by forming an artificial cage of wire attached to the costal cartilages and covered by Silastic and Dacron membranes. The same materials were used to cover the large abdominal defects of both twins. The combined procedure took 11 hours and 45 minutes. Both twins did reasonably well in the early post-operative period, but twin B did not recover from her brain damage and died 1 month later. Twin A, who needed special positioning to warm the projecting heart, died 2 months later.

Figures at a glance

image
Figure 1
Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

Article Usage

  • Total views: 11685
  • [From(publication date):
    February-2015 - Feb 21, 2018]
  • Breakdown by view type
  • HTML page views : 7905
  • PDF downloads : 3780
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version