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

Grizelj, Ruža and Sindičić Dessardo, Nada and Bulić, Krešimir and Luetić, Tomislav and Mikulić, Danko and Antabak, Anko and Sjekavica, Ivica and Alduk, Ana Marija and Konosić, Sanja and Režek Tomašić, Karolina and Ćaleta, Tomislav and Pleško, Sanja and Šarić, Dalibor and Vuković, Jurica (2019) Successful separation of xypho-omphalopagus conjoined twins with extrauterine twin-twin transfusion syndrome: a case report. Croatian Medical Journal, 60 (4). pp. 301-308. ISSN 0353-9504

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Abstract

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.

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