• Croatian medical journal · Aug 2019

    Case Reports

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

    • Ruža Grizelj, Nada Sindičić Dessardo, Krešimir Bulić, Tomislav Luetić, Danko Mikulić, Anko Antabak, Ivica Sjekavica, Ana Marija Alduk, Sanja Konosić, Karolina Režek Tomašić, Tomislav Ćaleta, Sanja Pleško, Dalibor Šarić, and Jurica Vuković.
    • Ruža Grizelj, Department of Pediatrics, University of Zagreb School of Medicine, University Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia, rgrizelj@yahoo.com.
    • Croat. Med. J. 2019 Aug 31; 60 (4): 301-308.

    AbstractConjoined 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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