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Revisão Produção Nacional Revisado por pares
BIBTEX RIS

Thoraco-omphalopagus asymmetric conjoined twins: Report of a case and complete review of the literature

2013; Elsevier BV; Volume: 67; Issue: 1 Linguagem: Inglês

10.1016/j.bjps.2013.06.022

ISSN

1878-0539

Autores

Davi Reis Calderoni, Aline Mizukami, Paulo Henrique Facchina Nunes, Paulo Kharmandayan,

Tópico(s)

Homicide, Infanticide, and Child Abuse

Resumo

Thoraco-omphalopagus asymmetric conjoined twinning is a rare condition in which a grossly defective foetus (the parasite) is attached to the thorax and upper abdomen of the main foetus (the autosite). We describe a case of thoraco-omphalopagus asymmetric conjoined twins in which the autosite had an associated large-diameter omphalocoele that was successfully separated at our institution. Reconstruction of the resulting abdominal-wall defect was performed using a flap from the gluteal region and the proximal portion of the inferior limb of the parasite, which is demonstrated. In addition, a review of all previously published cases is presented, showing that overall positive results can be obtained in treating this condition and that the presence and degree of cardiac involvement have a major influence on the prognosis.

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