Omphalopagus Conjoined Twins
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Omphalopagus conjoined twins
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. 8 increased nuchal fold thickness has been documented in multiple cases of conjoined twins.
Conjoined twins are classified by the location of their connection. Although omphalopagus twins have the best chances of survival adequate team management and preoperative planning is required. 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.
Omphalopagus is the least common variety. 1 and 25 sets by cywes et al. The separation of conjoined twins presents a unique challenge to pediatric surgeons because of its rarity.
A recent theory postulates fusion of two embryonic discs as more of a cause for conjoined twinning than fission of a single embryonic plate. Conjoined twins may be joined at any of these sites. This is one of the most common sites of conjoined twins.
They often have a shared heart and may also share one liver and upper intestine. The twins were born conjoined from the chest to the pelvis and were given just three days to live in 2002. With an incidence of 74 75 thoracopgus is the most common variety with an incidence of 0 5.
In the case of omphalopagus twins they are connected at the abdominal region. In the earlier weeks the foetal movements are limited and the monochorionic twins may be mistaken for conjoined twins. Conjoined twins omphalopagus despite the fact that conjoined twinning is the rarest form of monozygotic twins this.
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