Ischiopagus Tetrapus Conjoined Twins

  • Nartono Kadri
  • Harapan Parlindungan Ringoringo
  • Darmawan Kartono
DOI: https://doi.org/10.14238/pi36.7-8.1996.169-76
Keywords: ischiopagus tetrapus

Abstract

We report a case of ischiopagus tetrapus conjoined twins with one pas­sageway (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. Dur­ing 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 co­lostomy 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 post­operative day) resulting in the death of the conjoined twins.

Author Biographies

Nartono Kadri
Departments of Child Health Medical School,
University of Indonesia - Cipto Mangunkusumo Hospital, Jakarta.
Harapan Parlindungan Ringoringo
Departments of Child Health Medical School,
University of Indonesia - Cipto Mangunkusumo Hospital, Jakarta.
Darmawan Kartono
Departments of Pediatric Surgery Medical School,
University of Indonesia - Cipto Mangunkusumo Hospital, Jakarta.
Published
2017-12-11
How to Cite
1.
Kadri N, Ringoringo H, Kartono D. Ischiopagus Tetrapus Conjoined Twins. PI [Internet]. 11Dec.2017 [cited 5Nov.2024];36(7-8):169-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1707
Issue
Vol 36 No 7-8 (1996): July - August 1996
Section
Case Report

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Received 2017-12-11
Accepted 2017-12-11
Published 2017-12-11