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Thoracic Aorta01:15

Thoracic Aorta

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The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
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Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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The Thoracic Cage: Ribs01:20

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Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
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Thoraco-Omphalopagus Conjoined Twins: A Case Report.

Ishaan M Deshmukh1, Pratyaksh Chhabra2, Swarupa Chakole3

  • 1Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Cureus
|January 15, 2024
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Summary

Conjoined twins, identical twins fused in utero, present significant surgical challenges. This case highlights the diagnosis of thoraco-omphalopagus conjoined twins in a 26-year-old woman at 19 weeks gestation.

Keywords:
conjoinedmonozygotic twinpeadiatricthoracopagus twinswomb

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Area of Science:

  • Medical Genetics
  • Congenital Abnormalities
  • Perinatology

Background:

  • Conjoined twins are a rare complication of monozygotic twinning, resulting in shared anatomy and high rates of fetal mortality.
  • The thoraco-omphalopagus type, characterized by anterior chest fusion involving the heart, is a prevalent form of conjoined twinning.

Observation:

  • This case report details a 26-year-old woman diagnosed with conjoined thoraco-omphalopagus twins.
  • Diagnosis was established via ultrasonography at 19 weeks of gestation.

Findings:

  • Ultrasonography confirmed the presence of conjoined thoraco-omphalopagus twins.
  • The diagnosis highlights the utility of prenatal imaging in identifying complex congenital anomalies.

Implications:

  • Early and accurate diagnosis of conjoined twins is crucial for appropriate management planning.
  • This case underscores the challenges faced by healthcare providers in managing high-risk pregnancies involving conjoined twins.