Gómez-Murillo SY, Solórzano-Morales SA, Macías-Avilés H

Language: Spanish
References: 12
Page: 469-476
PDF size: 783.57 Kb.

ABSTRACT

Multiple pregnancies are 3% of the total. The most frequent are dizygotic females, however, a small group of them are of monozygotic conjoined twins in some anatomical area. This attracts the attention of physicians because of the rarity of the condition and the difficulties as well as the ethical dilemmas for their treatment. We report a case of male Siamese omphalopagus. They were separated surgically at seven weeks of age. One of them lived six months.

REFERENCES

1. American College of Obstetricians and Gynecologists Committee on Practice Bulletins-Obstetrics, Society for Maternal-Fetal Medicine, ACOG Joint Editorial Committee ACOG Practice Bulletin #56: Multiple gestation: complicated twin, triplet, and high-order multifetal pregnancy. Obstet Gynecol 2004;104(4):869–83.

2. Endres L, Wilkins I. Epidemiology and biology of multiple gestations. Clin Perinatol 2005;32(2):301–314.

3. Tovar JA. Gemelos unidos (siameses). Bol Pediatr 1998;38:259–263.

4. Usang E, Babatunde O, Archibong A, Udo J, Eduwen DA. Dicephalus parapagus conjoined twins discordant for anencephaly, a case report. J Med Case Rep 2010;5;4:38.

5. Eagan J, Borgida A. Multiple gestations, the importance of ultrasound. Obstet Gynecol Clin North Am 2004;31(1):141- 158.

6. Corona Rivera JR, Corona Rivera E. Nosología actual de las duplicaciones embrionarias. Bol Med Hosp Infant Mex 2000;57(2):104–115.

7. Gilbert-Barness E, Raj P. Potter’s pathology of the fetus infant and child. 2da ed. Geoffrey AM. Mosby an imprint of Elsevier, 2007, pp. 307-317.

8. Wigglesworth JS, Singer DB. Textbook of fetal and perinatal pathology. 2da ed. Baldwin VJ. Blackwell Scientific Publications, 1991, p. 251.

9. Modena AB, Bergella V. Antepartum management of multifetal pregnancies. Clin Perinatol. 2005;32(2):443– 454.

10. Elliot JP. Management of High order multiple Gestation. Clin Perinatol 2005;32(2):387–402.

11. Salgado JA, De la Torre L, López S, Ceballos C, Castillo A. Separación exitosa de gemelos unidos onfalópagos durante el periodo neonatal. Revista Mexicana de Cirugía Pediátrica, 2005;12(1):55–60.

12. Quijano Pitman F. La primera separación de hermanas siamesas Dr. Aureliano Urrutia 1917. Gac Med Mex 2000;136(2):170–71.