Omphalopagus Conjoined Twins

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Omphalopagus conjoined twins. This is one of the most common sites of conjoined twins. With an incidence of 74 75 thoracopgus is the most common variety with an incidence of 0 5. The twins were born conjoined from the chest to the pelvis and were given just three days to live in 2002. They are one of the most common types of conjoined twins representing about one third of conjoined twins.

Ultrasonography is the most accurate technique which can be used for its diagnosis. Conjoined twins are classified by the location of their connection. Approximately half are stillborn and an additional one third die within 24 hours most live births are female with a ratio of 3 1. A coming of age story of two omphalopagus twins.

Lupita and carmen are omphalopagus twins which make up 10 percent of all conjoined twins it means each of the girls has a separate heart a set of arms a set of lungs and a stomach. 8 increased nuchal fold thickness has been documented in multiple cases of conjoined twins. Although omphalopagus twins have the best chances of survival adequate team management and preoperative planning is required. Pongsatha department of obstetrics and gynecology faculty of medicine chiang mai university thailand key words.

Omphalopagus twins are a classification of conjoined twins. 1 and 25 sets by cywes et al. The separation of conjoined twins presents a unique challenge to pediatric surgeons because of its rarity. Conjoined twins also known as siamese twins are identical twins joined in utero an extremely rare phenomenon the occurrence is estimated to range from 1 in 49 000 births to 1 in 189 000 births with a somewhat higher incidence in southwest asia and africa.

Conjoined twins are a rare congenital anomaly of twinning which borders on monstrosity. Omphalopagus is the least common variety. Thoracopagus thor uh kop uh gus twins are joined face to face at the chest. They often have a shared heart and may also share one liver and upper intestine.

In the earlier weeks the foetal movements are limited and the monochorionic twins may be mistaken for conjoined twins. Omphalopagus conjoined twins omphalopagus conjoined twins tongsong t. A recent theory postulates fusion of two embryonic discs as more of a cause for conjoined twinning than fission of a single embryonic plate. The largest series reported includes 17 sets of twins by spitz et al.

Of the various types of conjoined twins thoraco omphalopagus is a commonly occurring type. Conjoined twins omphalopagus despite the fact that conjoined twinning is the rarest form of monozygotic twins this. Conjoined twins may be joined at any of these sites.

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