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Croatian Medical Journal, Vol. 60 No. 4, 2019.

Original scientific paper

https://doi.org/10.3325/cmj.2019.60.301

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

Ruža Grizelj orcid id orcid.org/0000-0001-6077-9878 ; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Nada Sindičić Dessardo ; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Krešimir Bulić ; University of Zagreb School of Medicine, Zagreb, Croatia
Tomislav Luetić ; University of Zagreb School of Medicine, Zagreb, Croatia
Danko Mikulić ; Department of Surgery, University Hospital Merkur, Zagreb, Croatia
Anko Antabak ; University of Zagreb School of Medicine, Zagreb, Croatia
Ivica Sjekavica ; University of Zagreb School of Medicine, Zagreb, Croatia
Ana Marija Alduk ; Department of Diagnostic and Interventional Radiology, UniversityHospital Center Zagreb, ZagrebCroatia
Sanja Konosić ; Department of Anesthesiology University Hospital Center Zagreb, Zagreb, Croatia
Karolina Režek Tomašić ; Department of Anesthesiology University Hospital Center Zagreb, Zagreb, Croatia
Tomislav Ćaleta ; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Sanja Pleško ; Department of Clinical and Molecular Microbiology, University Hospital Center Zagreb, Zagreb, Croatia
Dalibor Šarić ; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Jurica Vuković ; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia

Full text: english pdf 2.065 Kb

page 301-308

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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 twintwin
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.

Keywords

Hrčak ID:

240095

URI

https://hrcak.srce.hr/240095

Publication date:

15.8.2019.

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