Successful separation of xypho-omphalopagus conjoined twins with extrauterine twin-twin transfusion syndrome: a case report

被引：1
|
作者：
Grizelj, Ruza [1 ,2 ]
Dessardo, Nada Sindicic [1 ]
Bulic, Kresimir [2 ,3 ]
Luetic, Tomislav [2 ,3 ]
Mikulic, Danko [4 ]
Antabak, Anko [2 ,3 ]
Sjekavica, Ivica [2 ,5 ]
Alduk, Ana Marija [5 ]
Konosic, Sanja [6 ]
Tomasic, Karolina Rezek [6 ]
Caleta, Tomislav [1 ]
Plesko, Sanja [7 ]
Saric, Dalibor [1 ]
Vukovic, Jurica [1 ,2 ]
机构：
[1] Univ Hosp Ctr Zagreb, Dept Pediat, Zagreb, Croatia
[2] Univ Zagreb, Sch Med, Zagreb, Croatia
[3] Univ Hosp Ctr Zagreb, Dept Surg, Zagreb, Croatia
[4] Univ Hosp Merkur, Dept Surg, Zagreb, Croatia
[5] Univ Hosp Ctr Zagreb, Dept Diagnost & Intervent Radiol, Zagreb, Croatia
[6] Univ Hosp Ctr Zagreb, Dept Anesthesiol, Zagreb, Croatia
[7] Univ Hosp Ctr Zagreb, Dept Clin & Mol Microbiol, Zagreb, Croatia
来源：
CROATIAN MEDICAL JOURNAL | 2019年 / 60卷 / 04期
关键词：
NECROTIZING ENTEROCOLITIS;
D O I：
10.3325/cmj.2019.60.301
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Conjoined twining is a rare medical phenomenon, with an overall prevalence of 1.47 per 100 000 births. This report describes a successful separation of xypho-omphalopagus conjoined twins complicated by unbalanced blood shunting through the porto-systemic anastomoses within the shared liver parenchyma. Significant extrauterine twin-twin transfusion syndrome caused by unbalanced shunting is an extremely rare, and probably under-recognized, hemodynamic complication in conjoined twins necessitating urgent separation. Progressive deterioration with a poor outcome can be prevented if the condition is recognized in a timely manner.
引用
收藏
页码：301 / 308
页数：8
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