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

页码：301 / 308

页数：8

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