Ischiopagus Tetrapus Conjoined Twins
Abstract
We report a case of ischiopagus tetrapus conjoined twins with one pasÂsageway (cloaca type) and bom at term by spontaneously vaginal dcliveiy, with a combined birth weight of 5000 grams. There was no history of twin in the family. DurÂing hospitalization, the conjoined twins suffered from sepsis due to ascending infection from cloacal portion, At the age of 17 days, an exploratory laparatomy and divided coÂlostomy was performed. The postoperative complications were bleeding and sepsis. The bleeding could be properly handled only in 4 days after the treatment, whilst sepsis could not be overcome. Even in the 16th day after the operation, a peritonitis occurred followed by intestines prolapse from the edge of operative incision (on the 19th postÂoperative day) resulting in the death of the conjoined twins.
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Accepted 2017-12-11
Published 2017-12-11
