Abel M, Greiner P, Fiedler L, Farthmann E H, Schümichen C, Struwe F E, Reinwein H, Pringsheim W, Künzer W
Helv Paediatr Acta. 1986 May;41(1-2):41-8.
Xipho-omphalopagus twins with a pericardial bridge, extended liver tissue union and considerable intestinal herniation from one abdominal cavity to the other were separated successfully at the age of three months. Special diagnostic procedures including cardiac and abdominal sonography, catheterism of the umbilical vein with portal angiography, radionucleotide liver and bile duct imaging and separate oral glucose tolerance tests provided important information for perioperative and surgical patient management. Relevant items for determination of the favourable data and method of surgery are discussed.
患有心包桥、肝脏组织广泛融合以及大量肠管从一个腹腔疝入另一个腹腔的剑突脐联体双胎在三个月大时成功分离。包括心脏和腹部超声检查、脐静脉插管门静脉血管造影、放射性核素肝脏和胆管成像以及分别进行的口服葡萄糖耐量试验等特殊诊断程序为围手术期和手术患者管理提供了重要信息。文中讨论了确定有利数据和手术方法的相关事项。
