Heteropagus conjoined twins: Five cases

Aim: report cases of heteropagus conjoined twins on and results of their management. Method: Prospective descriptive study of all heteropagus cases operated at the pediatric surgery department of the mother and child teaching hospital over five years. Results: We collated 5 cases of heteropagus conj...

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Autores principales:	Mahamat-nour Abakar Djibrine, Olivier Ngaringuem, Youssouf Djidita Hagré, Adami Adam, Khadidja Attimer, Ouchemi Choua
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Conjoined twins Heteropagus Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/2a08c0b066194ddf887fecc863d2a9c0
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spelling	oai:doaj.org-article:2a08c0b066194ddf887fecc863d2a9c02021-11-16T04:10:28ZHeteropagus conjoined twins: Five cases2213-576610.1016/j.epsc.2021.102086https://doaj.org/article/2a08c0b066194ddf887fecc863d2a9c02022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003079https://doaj.org/toc/2213-5766Aim: report cases of heteropagus conjoined twins on and results of their management. Method: Prospective descriptive study of all heteropagus cases operated at the pediatric surgery department of the mother and child teaching hospital over five years. Results: We collated 5 cases of heteropagus conjoined twins with a frequency of 1.89/1 million births. The mean age of patients at surgery was 5 months, with extremes of 13 days and two years. The sex ratio was 1/4. There were two omphalopagus cases, one pygopagus case, one unusual localization of the parasitic on the face and one localization on the back. All patients were delivered vaginally and no antenatal diagnosis was made. The removal of the parasitic was complete in all cases. The mean operating time was 73 minutes. We noted surgical wound suppuration in 60% of cases. Conclusion: We collated 5 cases of heteropagus conjoined twins in 5 years, with complete separation carried out in all cases. An imaging workup is crucial to guide surgery. Our challenge is to stimulate investigations to determine the causes of the high frequency of heteropagus conjoined twins in our community.Mahamat-nour Abakar DjibrineOlivier NgaringuemYoussouf Djidita HagréAdami AdamKhadidja AttimerOuchemi ChouaElsevierarticleConjoined twinsHeteropagusPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102086- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Conjoined twins Heteropagus Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Conjoined twins Heteropagus Pediatrics RJ1-570 Surgery RD1-811 Mahamat-nour Abakar Djibrine Olivier Ngaringuem Youssouf Djidita Hagré Adami Adam Khadidja Attimer Ouchemi Choua Heteropagus conjoined twins: Five cases
description	Aim: report cases of heteropagus conjoined twins on and results of their management. Method: Prospective descriptive study of all heteropagus cases operated at the pediatric surgery department of the mother and child teaching hospital over five years. Results: We collated 5 cases of heteropagus conjoined twins with a frequency of 1.89/1 million births. The mean age of patients at surgery was 5 months, with extremes of 13 days and two years. The sex ratio was 1/4. There were two omphalopagus cases, one pygopagus case, one unusual localization of the parasitic on the face and one localization on the back. All patients were delivered vaginally and no antenatal diagnosis was made. The removal of the parasitic was complete in all cases. The mean operating time was 73 minutes. We noted surgical wound suppuration in 60% of cases. Conclusion: We collated 5 cases of heteropagus conjoined twins in 5 years, with complete separation carried out in all cases. An imaging workup is crucial to guide surgery. Our challenge is to stimulate investigations to determine the causes of the high frequency of heteropagus conjoined twins in our community.
format	article
author	Mahamat-nour Abakar Djibrine Olivier Ngaringuem Youssouf Djidita Hagré Adami Adam Khadidja Attimer Ouchemi Choua
author_facet	Mahamat-nour Abakar Djibrine Olivier Ngaringuem Youssouf Djidita Hagré Adami Adam Khadidja Attimer Ouchemi Choua
author_sort	Mahamat-nour Abakar Djibrine
title	Heteropagus conjoined twins: Five cases
title_short	Heteropagus conjoined twins: Five cases
title_full	Heteropagus conjoined twins: Five cases
title_fullStr	Heteropagus conjoined twins: Five cases
title_full_unstemmed	Heteropagus conjoined twins: Five cases
title_sort	heteropagus conjoined twins: five cases
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/2a08c0b066194ddf887fecc863d2a9c0
work_keys_str_mv	AT mahamatnourabakardjibrine heteropagusconjoinedtwinsfivecases AT olivierngaringuem heteropagusconjoinedtwinsfivecases AT youssoufdjiditahagre heteropagusconjoinedtwinsfivecases AT adamiadam heteropagusconjoinedtwinsfivecases AT khadidjaattimer heteropagusconjoinedtwinsfivecases AT ouchemichoua heteropagusconjoinedtwinsfivecases
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Heteropagus conjoined twins: Five cases

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