Ray A K, Mukherjee N N, Mukherjee Gouri, Patra Rishavdeb, Ghosh D K
Department of Pediatric Surgery, Calcutta Medical College, Kolkata, India.
Indian J Pediatr. 2004 Aug;71(8):755-7. doi: 10.1007/BF02730669.
A pair of female thoraco-omphalopagus twins, with two pairs of lungs, common diaphragm and separate pleural cavities was separated at the age of 5(1/2) months after a parasitic relationship had developed between them. Before separation both the babies developed recurrent respiratory tract infection and frequent diarrhea. They were treated with medical therapy and made fit for anesthesia. The combined weight of the twins was 4(1/2) kg at birth and the combined weight at the time of separation was 9(1/2) kg. One baby was smaller in growth compared to the other baby. The closure of anterior abdominal wall was difficult in both babies. However, we could close it without use of any biodegradable patches or tissue expander. Both the babies survived and are doing well after 3 months of separation.
一对女性胸腹联体双胞胎，有两对肺、共用横膈膜且胸膜腔分离，在她们之间形成寄生关系后，于5个半月大时接受了分离手术。分离前，两个婴儿均反复出现呼吸道感染和频繁腹泻。他们接受了药物治疗，身体状况适合麻醉。双胞胎出生时的总体重为4.5千克，分离时的总体重为9.5千克。其中一个婴儿的生长发育比另一个婴儿慢。两个婴儿的前腹壁关闭都很困难。不过，我们未使用任何可生物降解补片或组织扩张器就成功将其关闭。两个婴儿均存活，分离3个月后情况良好。
