Radiology assessment of omphalopagus conjoined twins: A case report

Abstract

Conjoined twins are rare and present a challenge for surgeons and radiologists and classified according to the main site of connection: thorax (thoracopagus), abdomen (omphalopagus), etc. Here, we report a Seventeen-month-old, female omphalopagus conjoined twins, born from a mother with a family history of twins, who performed CT-scan and ultrasound echocardiography for elective surgery preparation and X-ray evaluation after the separation surgery. From the CT-Scan examination, revealed each baby had its own, separate heart (one with dextrocardia), each baby had its own liver but they were partially fused and several small branches crossed each other (superior mesenteric artery, intercostal artery, and hepatic vasculature). Findings at surgery are consistent with radiological findings, but we missed to evaluate the pericardium despite being informed by the CT-scan that each baby had its own heart. Radiological investigation plays an important role in the evaluation, all possibilities must be taken into account: operation feasibility, shared organs, soft tissue, and bone structure.

Thoraco-Omphalopagus Conjoined Twins: A Case Report

“…Any of the following classical signs identified by USG may suggest the diagnosis: inability to separate foetal bodies after careful observation, both foetal heads in the same plane, unusual cervical spine flexion backwards, no change in the relative position following manual manipulations and movements by the mother [11]. Nearly all of these results were observed in the situation, and all concerned individuals need to be aware of the symptoms connected to conjoined twins [12]. A careful USG examination is necessary to discover shared organs.…”

Conjoined Twin Marriages in the Perspective of Islamic Law

“…The consistent spectrum of anomalies encountered in omphalopagus twins allows planning of separation. 20 4. Ischiopagus (united at the hip).…”

Twin studies of cardiorespiratory disease, daily cardiovascular activity and imaging

“…There are some case studies with radiographs on twins, including a case study of a Scottish identical twin pair with recurrent right elbow dislocation 86 and a case of conjoined twins. 87 Taking into account the effects of ionizing radiation, most twin studies analyze X-ray image data that were obtained in hospitals as part of the screening of potentially affected twins. A UK twin study examined the heritability of osteoarthitis of the hip joint which was between 58% and 64%.…”