J Korean Assoc Pediatr Surg.  1997 Dec;3(2):164-167. 10.13029/jkaps.1997.3.2.164.

A case of Conjoined Twins: Omphalopagus

• Choi SJ
• Chung SY
• Kim SK

• KMID: 2422255
• DOI: http://doi.org/10.13029/jkaps.1997.3.2.164

Abstract

Conjoined twins are one of the rarest and most challenging congenital anomalies in pediatric surgery. Successful surgical separation is difficult because it the majority of conjoined twins in is technically typical to separate shared vital organs successfully. The timing of separation is variable, but separation is usually delayed until such infants are relatively mature(i.e, 9-12 months of age). Operative survival was 50 % in the neonatal period, but 90 % in those over 4 months of age. The present case was successfully separated early beacase of cardiac problems in one of the twins. These twins were omphalopagus and only the liver was shared through a bridge. The vascular and biliary trees were independent from each other. Successful surgical separation was on 11th day of life, but one died of sepsis 18 days ofter operation.

Keyword

Conjoined twins; Omphalopagus

MeSH Terms

Humans
Infant
Liver
Sepsis
Trees
Twins
Twins, Conjoined*