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Case Reports
. 2021 Sep-Oct;26(5):354-357.
doi: 10.4103/jiaps.JIAPS_175_20. Epub 2021 Sep 16.

Conjoined Thoracopagus Twins - Our Experience of Successful Separation

Arvind Sinha  1 , Rahul Saxena  1 , Manish Pathak  1 , Mahaveer Singh Rodha  2
Affiliations
Case Reports

Conjoined Thoracopagus Twins - Our Experience of Successful Separation

Arvind Sinha et al. J Indian Assoc Pediatr Surg. 2021 Sep-Oct.

Abstract

Conjoined twin is an extremely rare condition and needs a thorough knowledge of anatomy and a multidisciplinary approach is essential to successfully separate, the twins. Thoracopagus are the twins attached by chest and umbilicus and are the commonest among all the varieties but carries a poor survival rate. We describe our approach and experience of management of thoracopagus twins who were separated at eighty-three day of life and are alive and well after 4 years of follow up. The most important decisive parameter for successful separation is the extent of sharing of organs between twins but the role of a motivated multidisciplinary team is also indispensable.

Keywords: Conjoined twins; the survival of thoracopagus twins; thoraco-omphalopagus twins; thoracopagus twins.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Thoracopagus twins at presentation (b) Two separate hearts in computed tomography (c) liver shared by parenchymal bridge with minimum transfer of dye (*) from one twin to other (d) marking of incision
Figure 2
Figure 2
(a) Parenchymal bridge of liver encircled by feeding tube (b) separated liver (*) (c) completely separated twins (d) abdominal closure by polypropylene mesh
Figure 3
Figure 3
Separated twins 3 years after surgery
See this image and copyright information in PMC

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