Epigastric heteropagus twinning with dextrocardia: a case report

IF 0.4 Q4 PEDIATRICS Annals of Pediatric Surgery Pub Date : 2023-11-14 DOI:10.1186/s43159-023-00273-9
Ayesha Siddiqua, None Noor-ul-Sabah, Muhammad Ramzan Bhutta
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Abstract

Abstract Background Heteropagus twinning is a rare birth defect in 1 in million live births. Epigastric heteropagus is the most frequent type, in which a smaller dependent (parasite twin) is attached to the body of the host (autosite twin) to the thorax and umbilicus. Several congenital anomalies have been previously described in the host twin. We describe the first case of epigastric heteropagus twinning with dextrocardia and situs inversus in which a successful surgical separation is performed. Case presentation A 48-h-old female sex twins were presented to Bahawal Victoria Hospital. A careful anatomic study using contrast X-ray, magnetic resonance imaging, and echocardiogram showed epigastric heteropagus twinning and situs inversus in autosite twin. A successful surgical separation was performed, and the parasite twin was removed from the body of the autosite twin. Conclusions Antepartum screening detects congenital malformations; however, several pregnancies are unsupervised in underdeveloped countries. In the case of heteropagus twinning, careful surgical separation in the absence of complications leads to the favorable survival of the autosite twin.
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上胃异位伴右心1例
摘要背景异位双胞胎是一种罕见的出生缺陷,发生率为百万分之一。上腹部异食虫是最常见的类型,其中一个较小的依赖性(寄生双生体)附着在宿主的身体上(寄生双生体),位于胸腔和脐部。以前曾报道过宿主双胞胎的几种先天性异常。我们描述了第一例上腹部异位双胞胎右心和逆位,其中成功的手术分离进行。一例48小时的女性双胞胎被送到Bahawal Victoria医院。仔细的解剖研究使用对比x线,磁共振成像和超声心动图显示上腹部异位双胞胎和异位双胞胎。手术成功分离后,寄生双胞胎从自体双胞胎体内取出。结论产前筛查可发现先天性畸形;然而,在不发达国家,有些怀孕是无人监督的。在异位双胞胎的情况下,在没有并发症的情况下,小心的手术分离会导致有利的异位双胞胎存活。
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CiteScore
0.60
自引率
0.00%
发文量
74
审稿时长
9 weeks
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