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Parapagus conjoined twins with unilateral mesenteric venous outflow.
Mattix, Kelly; Healey, Patrick J; Sawin, Robert S; Waldhausen, John H T.
Afiliação
  • Mattix K; Division of Pediatric Surgery, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA 98105, USA.
J Pediatr Surg ; 46(8): 1631-3, 2011 Aug.
Article em En | MEDLINE | ID: mdl-21843733
This case presents a complication of attempted separation of parapagus conjoined twins, related to loss of an intact mesenteric-portal venous axis. Despite known lack of a superior mesenteric artery in the right twin, initial evaluation in the operating room suggested that separation was possible. After hepatic division, however, it became apparent that the mesenteric drainage was not separable; and the operation was aborted. Subsequently, significant growth failure and hypoglycemia were noted in the right twin. The situation was corrected by creating a shunt to reinstitute mesenteric flow to the right twin's liver and separating the twin's mesenteric drainage. One year postoperatively, both twins are independently nourishing themselves and have been free from hospitalization with stable glucoses.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Gêmeos Unidos / Insuficiência de Crescimento / Hipoglicemia / Veias Mesentéricas Limite: Female / Humans / Newborn Idioma: En Revista: J Pediatr Surg Ano de publicação: 2011 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Gêmeos Unidos / Insuficiência de Crescimento / Hipoglicemia / Veias Mesentéricas Limite: Female / Humans / Newborn Idioma: En Revista: J Pediatr Surg Ano de publicação: 2011 Tipo de documento: Article