The Ibadan conjoined twins: a report of omphalopagus twins and a review of cases reported in Nigeria over 60 years

Omokhodion, Samuel; Ladipo, J K; Odebode, TO; Ajao, O G; Famewo, C. E.; Lagundoye, S. B.; Sanusi, Arinola; Gbadegesin, R.A.

doi:10.1080/02724930120077853

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…Review of available literature showed that 18 cases have been reported across the country in the last 76 years from 1935 to 2012. Five cases, 28%, were reported from a single center in the North, Zaria, 8 while the other cases were reported from Ibadan, 3 Ife, 9 Enugu 10 and few tertiary health centers in other parts of the country. The higher report from Zaria may be due to the heightened interest of the workers.…”

Section: Discussionmentioning

confidence: 99%

“…We report our experience with conjoined twins over a twelve year period in a tertiary hospital in Nigeria and a case of the first set of conjoined twin survivors in Benin City, Nigeria. The incidence of conjoined twins in Nigeria is unknown; however an article published in 2001 suggests that over the preceding 60 years there were 12 published cases nationwide, 3 excluding our own cases. The cases seen in our center have so far not been reported perhaps because this center had not recorded any survival of conjoined twins since its existence three and half decades ago.…”

Section: Introductionmentioning

confidence: 99%

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Conjoined twins in Edo state of Nigeria; a report of the first surviving set

Amuabunos¹,

Co²,

Omoigberale³

et al. 2014

Nig. J. Paed.

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Abstract:The term conjoined twins refers to babies who are physically joined at some point. It is a rare condition with an estimated incidence of 1 per 200,000 live births. We report our experience with conjoined twins over a twelve year period in tertiary hospital in Nigeria and a case of the first set of conjoined twin survivors in Benin City, Nigeria. Over the last twelve years (1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011), three cases of conjoined twin have been recorded in our teaching hospital. A set of thoracoomphalopagus twins (females) were delivered in 1999 and they survived for only 36hrs. Another set of female omphalopagus twins were delivered in 2009 and survived a separation surgery. A third set of female thoracoomphalopagus was delivered in another institution same year and referred to our unit but they only survived for 48 hours. The first surviving twins were omphalopagus, sharing a single liver, and common bile duct emptying into a common duodenum. The stomach, as well as the jejunum was normal and unshared. Surgical separation of the liver was done and biliary reconstruction procedure performed for twin II. A three -year follow up showed good outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Conjoined twins in Edo state of Nigeria; a report of the first surviving set

Amuabunos¹,

Co²,

Omoigberale³

et al. 2014

Nig. J. Paed.

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“…This probably does not reflect the true incidence in Nigeria as most of the cases are not reported on account of the associated stigma. [4] Cases of conjoined twins seen in hospital are rare and pose a management challenge when they present because of paucity of experience in managing them. [4] The present case is of interest because of its extreme rarity, and the fact that it is the first such dicephalus dipud type to have been managed in our centre.…”

Section: Introductionmentioning

confidence: 99%

Dicephalus dipus tetrabrachius conjoined twins of Zaria: Case report and literature review

et al. 2013

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One of the most interesting congenital malformations to manage is a conjoined twin. Conjoined twins are rare occurrences in obstetric/pediatric practice. More commonly known as Siamese twins, this phenomenon is shrouded in mystery and considered a curiosity by general public. Current technology is lending a helping hand in the early diagnosis of these conditions. Frequently, the twins are born dead, but there are few cases in which the twins survive. We presented a case of dicephalus dipud conjoined twins; a rare type of conjoined twins.

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“…The above strategy, applied also to other malformations, gives better chances for favourable treatment outcomes. It eliminates iatrogenic effects of prolonged transportation on the child's health condition and enables proper preparation of the specialist centre [5]. It should be however borne in mind that Siamese twins are such a complicated developmental defect that even the use of the most advanced diagnostic methods does not always allow to assess accurately the configuration of twins' internal organs, hence final verification is possible only on the operating table [19].…”

mentioning

confidence: 99%

“…The majority of Siamese twins are stillborn or die shortly after birth due to accompanying developmental defects, hence they constitute an extremely small group of patients. The defect is three times more frequent in girls [1][2][3][4][5][6]. Its occurrence has been found to vary significantly by geographical region and race.…”

mentioning

confidence: 99%

Znieczulenie bliźniąt syjamskich

Kobylarz

2014

Anaesthesiol Intensive Ther

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Conjoined twins have been a source of fascination to the public and the medical profession for centuries. Their birth was initially viewed as an ominous sign of impending disaster. Since Middle Ages into the 19 th century they were regarded as monstrosities and were exhibited at circuses and sideshows. The frequency of conjoined twins is approximately 1 in 50,000 gestation, but many of them die in utero, are terminated or stillborn. The true incidence is estimated to be 1 in 200,000 live births. This article gives an overview of Siamese twins and of the prenatal diagnosis in assessing the prognosis, anaesthetic and post-natal surgical management and outcome. Anaesthesia for conjoined twins surgery, whether prior to or for separation, is an enormous challenge to the anaesthesiologist. The site and complexity of the conjunction affect management of the airway, an intravenous access, the extent of blood and number of surgical specialties involved. Preoperative assessment and planning with interdisciplinary communication and cooperation is vital to the success of the operations. Meticulous attention to detail, monitoring and vigilance are mandatory.

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The Ibadan conjoined twins: a report of omphalopagus twins and a review of cases reported in Nigeria over 60 years

Cited by 8 publications

References 25 publications

Conjoined twins in Edo state of Nigeria; a report of the first surviving set

Conjoined twins in Edo state of Nigeria; a report of the first surviving set

Dicephalus dipus tetrabrachius conjoined twins of Zaria: Case report and literature review

Znieczulenie bliźniąt syjamskich

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