PMID: 8986994Dec 1, 1996Paper

Dicephalus dipus dibrachius: an unusual case of conjoined twins

Journal of Pediatric Surgery
J I GronerS Teich

Abstract

Conjoined twinning is a rare anomaly, occurring in one of every 50,000 births. Dicephalus dipus dibrachius is an extremely rare form of conjoined twinning in which the infant has two arms, two legs, one trunk, but two heads. These infants are often stillborn or die shortly after birth. The authors describe a case of dicephalus twinning with 11-day survival. A thorough investigation using multiple imaging modalities (plain radiographs, contrast studies, ultrasonography, and magnetic resonance imaging) demonstrated that these twins had separate spinal columns but shared multiple internal organs including heart, liver, pancreas, intestine and bladder. Based on the anatomy of this case, the authors conclude that separation of dicephalus dipus dibrachius twins should not be attempted.

Citations

Jun 2, 1998·Journal of Pediatric Surgery·T G CantyJ Mathewson
Sep 13, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·C A KingstonL Spitz
Jan 28, 2005·The Tohoku Journal of Experimental Medicine·Mehmet HarmaCevdet Oksuzler
Nov 4, 2010·Indian Journal of Pathology & Microbiology·C AparnaY Nayudamma
May 4, 2011·Revista da Associação Médica Brasileira·Roseli Mieko Yamamoto NomuraMarcelo Zugaib
Nov 11, 2009·Journal of Clinical Ultrasound : JCU· Durr-e-SabihAli N Khan
Aug 31, 2001·Journal of Pediatric Surgery·J Bondeson
Feb 1, 2014·Australasian Journal of Ultrasound in Medicine·Frances Miceli

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