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Necrotizing enterocolitis in omphalopagus conjoined twins.

B Jaffray1, S A Russell, A Bianchi

  • 1Department of Neonatal Surgery, St Mary's Hospital, Whitworth Park, Manchester, England.

Journal of Pediatric Surgery
|August 31, 1999
PubMed
Summary
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Conjoined twins with jejunal obstruction died from necrotizing enterocolitis (NEC). Emergency separation may be needed for lethal complications in conjoined twins.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Congenital Anomalies

Background:

  • Omphalopagus conjoined twins present unique surgical challenges.
  • High jejunal obstruction requires prompt surgical intervention in neonates.

Observation:

  • Two female omphalopagus twins underwent laparotomy for high jejunal obstruction.
  • Despite initial recovery, one twin developed severe necrotizing enterocolitis (NEC).

Findings:

  • Both twins died on day 34 due to NEC complications.
  • The case involved a combined biliary tree, complicating management.

Implications:

  • Necrotizing enterocolitis (NEC) poses a significant dilemma in conjoined twins.
  • Emergency separation should be considered for conjoined twins with life-threatening conditions.

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