异卵(寄生)双胞胎并发脐膨出:病例报告

Samuel Gashu , Belachew Dejene , Yidnekachew Getachew , Gobena Mormata , Mihret solomon Tesfaye
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引用次数: 0

摘要

导言异阴道双胞胎极为罕见,在一百万到两百万的活产婴儿中才会出现。迄今为止,有关上腹部异位肛门双胞胎的报道不足 75 例,其中只有极少数异位肛门双胞胎同时伴有脐膨出。寄生双胎为头位和心位,有肠道结构、盆骨、双下肢和单上肢。寄生双胞胎的血液供应主要来自右乳内动脉,静脉回流则通过右乳内静脉到达上腔静脉。寄生双胞胎的肠道襻与自体肝脏的左叶重叠,而自体肝脏的左叶部分包含在中线脐膨出样腹壁缺损中。这对寄生双胞胎还有一个小卵圆孔和一个带有左向右分流的动脉导管。对这对寄生双胞胎进行了成功的解剖和切除,移除了肢体、骨盆和部分寄生躯干。同时还修复了自体脐膨出。结论异卵双胎的早期手术分离对于优化健康双胎的预后至关重要。
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Heteropagus (parasitic) twins and concomitant omphalocele: A case report

Introduction

Heteropagus twins are extremely rare, occurring in one to two million live births. To date, fewer than 75 cases of epigastric heteropagus twins have been reported, and only a handful of these cases have involved heteropagus twins with a concomitant omphalocele.

Case presentation

We present a case of heteropagus twins in a 2-day-old neonate with a fully formed parasitic mass attached to the lower anterior chest wall and epigastrium. The parasitic twin was acephalic and acardiac, had bowel structures, pelvic bones, bilateral lower limbs, and a single upper limb. The blood supply of the parasitic twin primarily originated from the right internal mammary artery, and the venous return was via the right internal mammary vein to the superior vena cava. The parasitic twin's bowel loops overlapped the left lobe of the autosite's liver, which was partially contained in a midline omphalocele-like abdominal wall defect. The autosite also had a small patent foramen ovale and a patent ductus arteriosum with a left-to-right shunt. A successful dissection and excision of the parasitic twin was done to remove the rudimentary limbs, pelvis, and part of the parasitic trunk. The autosite's omphalocele was repaired at the same time. The patient had an uneventful postoperative recovery.

Conclusion

Early surgical separation of heteropagus twins is crucial to optimize the outcomes of the healthy twin.
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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
348
审稿时长
15 days
期刊最新文献
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