Early separation of omphalopagus conjoined twins: a case report from Syria

Abstract Omphalopagus twins are one of many forms of conjoined twins sharing part of the gastrointestinal system and abdominal wall. This type of twins has the best chance of survival if successfully separated. Surgical approaches in these cases are generally preferably elective, but sometimes separation may be urgently needed due to life-threatening complications, such as hemodynamic instability, death of either twin, necrotizing enterocolitis, among many others. We report a case of successfully separated omphalopagus twins at day two of life.

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Successful Separation of Omphalopagus Twins: A Case Report

Journal of Neonatal Surgery ◽

10.47338/jns.v5.272 ◽

2015 ◽

Vol 5 (1) ◽

pp. 5 ◽

Cited By ~ 2

Author(s):

Prashant S Patil ◽

Paras Kothari ◽

Abhaya Gupta ◽

Geeta Kekre ◽

KV Dikshit ◽

...

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Conjoined Twins ◽

Gastrointestinal System ◽

Successful Separation

Omphalopagus twins are conjoined twins sharing part of gastrointestinal system and abdominal wall. These types of twins have best chances of survival if successfully separated. We report a case of successfully separated omphalopagus twins at day six of life.

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Suscessful early separation of premature xipho-omphalopagus conjoined twins: A case report

Journal of Pediatric Surgery ◽

10.1016/s0022-3468(97)90478-4 ◽

1997 ◽

Vol 32 (11) ◽

pp. 1657

Author(s):

Sigmund H Ein

Keyword(s):

Case Report ◽

Conjoined Twins ◽

Early Separation

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Ruptured cornual ectopic pregnancy: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20203346 ◽

2020 ◽

Vol 9 (8) ◽

pp. 3483

Author(s):

Arti Sharma ◽

Dipika Singh ◽

Sarika Verma

Keyword(s):

Case Report ◽

Ectopic Pregnancy ◽

Multidisciplinary Approach ◽

Hemodynamic Instability ◽

Emergency Laparotomy ◽

New Delhi ◽

Life Saving ◽

Life Threatening ◽

Ectopic Pregnancies ◽

Labour Room

A cornual gestation is one of the most hazardous and life-threatening type of ectopic pregnancy with a mortality rate of 2-5 times higher than other ectopic pregnancies. Because of the myometrium stretch ability, they usually present late around 7-12 weeks of gestation. Thus, the diagnosis and treatment of such cases become challenging. In the case of ruptured cornual ectopic pregnancy, the patient usually presents with hemodynamic instability. Presenting a case report of a 28-year-old female who presented to the labour room of ESI hospital, Okhla, New Delhi at 12 weeks of pregnancy in a state of shock. A provisional diagnosis of ruptured cornual ectopic was made based on clinical examination and ultrasound report. Resuscitation followed by emergency laparotomy done as a life-saving procedure for the patient. Ruptured cornual ectopic needs urgent intervention and multidisciplinary approach. However, with the advancement and expertise in the field of radiology and early diagnosis can be made which can contribute towards more conservative management of such cases.

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A case report of necrotizing fasciitis of the abdominal wall: A rare, life-threatening complication of a common disease process

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2016.09.005 ◽

2016 ◽

Vol 28 ◽

pp. 355-356 ◽

Cited By ~ 3

Author(s):

Anya Romanoff ◽

Jeffrey Freed ◽

Tomas Heimann

Keyword(s):

Case Report ◽

Necrotizing Fasciitis ◽

Abdominal Wall ◽

Disease Process ◽

Common Disease ◽

Life Threatening ◽

Life Threatening Complication

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Severe infection of the anterior abdominal wall in a patient with diabetes mellitus: A case report

Medicinski pregled ◽

10.2298/mpns1708245d ◽

2017 ◽

Vol 70 (7-8) ◽

pp. 245-248

Author(s):

Dzemail Detanac ◽

Dzenana Detanac ◽

Mersudin Mulic ◽

Merima Ceranic ◽

Anida Ademovic

Keyword(s):

Diabetes Mellitus ◽

Case Report ◽

Abdominal Wall ◽

Anterior Abdominal Wall ◽

Severe Infection ◽

Deep Infection ◽

Necrotizing Soft Tissue Infection ◽

Life Threatening ◽

Infection Source ◽

Prompt Diagnosis

Introduction. Necrotizing soft tissue infection is a severe, life threatening infection, with high mortality rate, especially in patients with comorbidities. Case report. We are presenting a 53-year-old female patient with diabetes mellitus and a severe infection of the anterior abdominal wall resulting from a vulval infection. The treatment consisted of an extensive excision of the abdominal wall necrosis and surgical eradication of the deep infection source, hyperbaric oxygen therapy, and antibiotic conservative therapy. Conclusion. Prompt diagnosis, aggressive medical treatment and radical surgical debridement, as soon as possible, are the key to successful treatment.

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Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽

10.33883/jms.v21i2.328 ◽

2019 ◽

Vol 21 (2) ◽

pp. 117-119

Author(s):

Munir Ahmad Wani ◽

Mubarak Ahmad Shan ◽

Syed Muzamil Andrabi ◽

Ajaz Ahmad Malik

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Ct Scan ◽

Bowel Obstruction ◽

Emergency Surgery ◽

Gallstone Ileus ◽

Gall Stone ◽

Life Threatening ◽

Life Threatening Complication ◽

Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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Case Report: Hemoptysis localization – hearing with your eyes

POCUS Journal ◽

10.24908/pocus.v1i2.13253 ◽

2016 ◽

Vol 1 (2) ◽

pp. 7

Author(s):

Barry Chan, MD

Keyword(s):

Case Report ◽

Respiratory Failure ◽

Hemodynamic Instability ◽

Clinical Vignette ◽

Massive Hemoptysis ◽

Airway Patency ◽

Peripheral Site ◽

Adventitious Sound

Clinical Vignette: 45 year old was transferred from a peripheral facility for acute massive hemoptysis though maintained sufficient airway patency with no evidence of hemodynamic instability or respiratory failure. Thoracic auscultation revealed vesicular breathing with no adventitious sound. CXR from the peripheral site was normal.

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