Summary
Pygopagus conjoined twins were born by caesarean section at 34 weeks of gestation.
Initial evaluation revealed no other abnormalities apart from their attachment at
lower back, buttocks and perineum. They had two separate anal and urogenital openings.
Their investigations included roentgenograms, ultrasound, barium enema, cystourethrogram,
CT scan and MRI. There were two separate spinal columns fused distally at the lower
sacral level. Lower gastrointestinal studies showed two separate rectums and cystourethrogram
showed normal and separate urinary tracts. MRI showed a single dural sac between two
fused sacral bones with no other vertebral anomalies. They were successfully separated
with primary skin closure using V-shaped flaps.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Experience in the management of conjoined twins.Br J Surg. 2000; 89: 1188-1192
- Separation of conjoined pygopagus twins.Plast Reconstr Surg. 2003; 111: 1998-2002
- Spectrum of anorectal anomalies in pygopagus twins.J Pediatr Surg. 2003; 38: 608-612
- Congenital vertebral anomalies in ischiopagus and pygopagus conjoined twins.Clin Orthop. 2000; 381: 137-144
- Spinal cord involvement in pygopagus conjoined twins: case report and review of the literature.Childs Nerv Syst. 2003; 19: 183-187
- Expansion and division of conjoined twins.J Pediatr Surg. 1998; 33: 768-770
- Intra-abdominal tissue expansion: an adjunct in the separation of conjoined twins.J Pediatr Surg. 1986; 21: 1198-1200
- Separation of omphalopagus twins: unique reconstruction using syngeneic cryopreserved tissue.J Pediatr Surg. 1998; 33: 750-753
- Conjoined twins—the Cape Town experience.Pediatr Surg Int. 1997; 12: 234-248
- Anatomic description of conjoined twins: a plea for standardized terminology.J Pediatr Surg. 1996; 31: 941-944
- Conjoined twins; theoretical embryologic basis.Teratology. 1992; 45: 591-602
- Antepartum ultrasonographic diagnosis of conjoined twins in early pregnancy.Am J Obstet Gynecol. 1981; 139: 961-963
- Conjoined twins.in: Welch K.J. Randolph J.G. Ravitch M.M. Neill J.A.O. Rowe M.I. Pediatric Surgery. 4th ed. Year Book Medical Publishers, Chicago1986: 829-836
- Surgical separation of conjoined twins.Surg Gynecol Obstet. 1990; 170: 540-562
Article info
Publication history
Published online: March 13, 2006
Accepted:
January 18,
2006
Received:
October 10,
2004
Identification
Copyright
© 2006 The British Association of Plastic Surgeons. Published by Elsevier Inc. All rights reserved.
