Thoraco-omphalopagus Twins
Abstract
Conjoined Twins: Developmental Theories
Partial fission (occurring between days 15–17 of gestation, in which monochorionic-monoamniotic twins exhibit incomplete separation of the bilaminar embryonic disc) and secondary fusion (initially independent embryos that subsequently fuse) are the two main theories.
Thoraco-omphalopagus: The most common type of conjoined twins, with a frequency of 28%. They are characterized by a complex, shared heart with symmetric contribution from both twins. Additionally, they typically share the liver, diaphragm, and proximal intestines.
Prognosis: They are rarely candidates for surgical separation due to cardiac involvement.
Downloads
6