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.

Item Type: Article
Departments: Katedra za kirurgiju
Katedra za pedijatriju
Katedra za radiologiju i opću kliničku onkologiju
Depositing User: Kristina Berketa
Status: Published
Creators:
CreatorsEmail
Grizelj, RužaUNSPECIFIED
Sindičić Dessardo, NadaUNSPECIFIED
Bulić, KrešimirUNSPECIFIED
Luetić, TomislavUNSPECIFIED
Mikulić, DankoUNSPECIFIED
Antabak, AnkoUNSPECIFIED
Sjekavica, IvicaUNSPECIFIED
Alduk, Ana MarijaUNSPECIFIED
Konosić, SanjaUNSPECIFIED
Režek Tomašić, KarolinaUNSPECIFIED
Ćaleta, TomislavUNSPECIFIED
Pleško, SanjaUNSPECIFIED
Šarić, DaliborUNSPECIFIED
Vuković, JuricaUNSPECIFIED
Date: 31 August 2019
Date Deposited: 18 Sep 2019 12:30
Last Modified: 18 Sep 2019 12:30
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/3384

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