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Malayan Medical Journal, 1931;6:25.

Matched MeSH terms: Twins, Conjoined

Fulltext Conjoined twins in a triplet pregnancy

Baskaran A

Med J Malaysia, 1997 Sep;52(3):291-2.

Conjoined twins in a triplet pregnancy is an extremely rare occurrence. We present here, a 27-year-old multigravida with gestational diabetes and a conjoined twins in a triplet pregnancy.

Matched MeSH terms: Twins, Conjoined*

Fulltext Anaesthetic management of conjoined twins: experience with six sets of twins

Norsidah AM, Lim SK, Ibtisan I, Misiran K

Med J Malaysia, 1996 Dec;51(4):420-5.

PMID: 10968028

Anaesthesia for the separation of conjoined twins requires a well-prepared, multidisciplinary team. Each patient for surgery is different and the extent of organ sharing and coexisting anomalies must be determined before surgery so that problems can be anticipated. We report our experience of the anaesthetic management for the separation of six sets of conjoined twins. Anaesthesia and surgery were prolonged, massive blood loss and transfusion, hypothermia, electrolyte imbalance and infection being the main perioperative problems encountered.

Matched MeSH terms: Twins, Conjoined/surgery*

Characteristics and management of conjoined twins: A single-centre retrospective descriptive study

Kusmayadi DD, Emiliana L, Trifosa SC

Med J Malaysia, 2024 Aug;79(Suppl 4):17-22.

PMID: 39215410

INTRODUCTION: Conjoined twins (CT) is a rare congenital disorder characterised by the presence of malformations associated with secondary abnormal conjoined organ changes and abnormal hemodynamic superimposed effects about 1 in every 200 identical twin pregnancies, between 1 in 50,000 to 1 in 100,000 live births. The aim of this study is to describe the characteristics of conjoined twins.

MATERIALS AND METHODS: This was a retrospective descriptive study. All medical records of conjoined twins who were admitted to Hasan Sadikin Bandung General Hospital from January 1st, 2015, to June 30th, 2023, were reviewed for gender, conjoined type, birth order, risk factor and treatment.

RESULTS: Of the 28 conjoined twins, 21 were girls (75%), and 7 were boys (25%); 19 (67,85%) were of the thoracoomphalopagus type; 11 (39,28%) were born as first children; 18 (64,28%) were born at 37 weeks of gestational age; and 22 twins' (78,57%) parents were aged between 21 and 35 years. None of the mothers had used medication, 13 (46,42%) took folic acid on occasion, five (17,85%) used traditional herbs, nine (32,14%) smoked and none drank alcohol. Parents who live in industrial areas were 18 (64.28%). There was no history of conjoined twins in previous pregnancies or deliveries or in the parent's family. Liver separation had been done in four (14.28%). Emergency separation in one twin. Nine (21.42%) patients died before surgery due to a worsening condition.

CONCLUSION: The conjoined twins were more common in girls, predominantly of the thoracoomphalopagus type. Risk factors that were commonly found were the first child, a gestational age of less than 37 weeks, and living in an industrial area.

Matched MeSH terms: Twins, Conjoined*

Radiocontrast-induced nephropathy in a pair of xiphaomphalopagus conjoined twins during the neonatal period

Boo NY, Mahmud MN, Samad SA

Acta Paediatr Scand, 1991 6 1;80(6-7):735-7.

PMID: 1867096

One of the babies in a pair of xiphaomphalopagus conjoined twins developed oliguria, transient rise in serum creatinine and persistent nephrogram on the sixth day of life following injection of radiocontrast medium for computerised axial tomography scanning of the urinary system. The other twin was spared but developed hypertension and "dialysed" the oliguric twin. The renal profiles of both neonates subsequently remained normal until they reached adequate weight for surgical separation at a later date.

Matched MeSH terms: Twins, Conjoined*

Fulltext Fetal MRI of thoraco-omphalopagus conjoined twins

Abdullah H, Abdul Wahab N, Abu Bakar K

BMJ Case Rep, 2017 Jun 13;2017.

PMID: 28611167 DOI: 10.1136/bcr-2017-219793

Matched MeSH terms: Twins, Conjoined*

Fulltext The entrapped twin: a case of fetus-in-fetu

Yaacob R, Zainal Mokhtar A, Abang Jamari DZH, Jaafar N

BMJ Case Rep, 2017 Sep 23;2017.

PMID: 28942402 DOI: 10.1136/bcr-2017-220801

Fetus-in-fetu (FIF) is a rare entity in which malformed parasitic twin grows inside the body of its twin. It is most commonly presented with mass in the abdomen. We present a case of a 15-year-old boy who presented with abdominal mass since infancy. Radiological investigations are suggestive of FIF. Intraoperatively, malformed fetus in a sac was found and excised. Postoperatively the patient recovers well and was put on follow-up.

Matched MeSH terms: Twins, Conjoined*

Fulltext Ultrasound diagnosis of cephalopagus conjoined twin pregnancy at 29 weeks

Sabih D, Ahmad E, Sabih A, Sabih Q

Biomed Imaging Interv J, 2010 10 01;6(4):e38.

PMID: 21611074 DOI: 10.2349/biij.6.4.e38

The authors report a case of a cephalopagus conjoined twin that was diagnosed at 29 weeks of gestation despite the mother having had two ultrasounds done previously. The fetus had one head and face, fused thoraces, common umbilicus but had two pelvises and two sets of genitalia. The fetus had four normally formed legs and arms.Antenatal ultrasound images are supplemented by post natal photographs. A review of literature, clues to ultrasound diagnosis and possible causes of missing this significant abnormality until the 3rd trimester are discussed.

Matched MeSH terms: Twins, Conjoined

Ductal Stenting to Permit Delayed Arterial Switch Operation in a Separated Conjoined Twin

Haranal M, Leong MC, Muniandy SR, Khalid KF, Sivalingam S

Ann Thorac Surg, 2020 10;110(4):e327-e329.

PMID: 32224240 DOI: 10.1016/j.athoracsur.2020.02.039

Conjoined twins are rare congenital malformations known to be associated with cardiac abnormalities. Management of transposition of the great arteries with an intact ventricular septum in this subgroup of patients is challenging, especially in the presence of multiple comorbidities. Prevention of left ventricular involution until the patient is stable for an arterial switch operation is a real challenge. We report a case of early ductal stenting to keep the left ventricle well trained in a separated conjoined twin who eventually underwent an arterial switch operation.

Matched MeSH terms: Twins, Conjoined*

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