TITLE:
Successful Separation of Conjoined Twins at the Conakry University Hospital Center
AUTHORS:
Mamadou Alpha Touré, Balla Keita, Balla Moussa Touré, Naby Fofana, Ibrahima Kalil Dioubaté, Thiero Mamadou Aliou Touré
KEYWORDS:
Siamese Twins, Pygopages, Multidisciplinarity, Separation, Conakry Hospital and University Center
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.3,
July
13,
2022
ABSTRACT: Introduction: The birth of conjoined twins is an event extremely rare that offers unique therapeutic challenges and circumstances. We must examine
each situation with the many questions that arise and which sometimes require a
long reflection. We report a case of separation of pygopages conjoined twins as
well as a review of the literature. Patients and Observations: A pair of
conjoined twins aged 11 days, weighing 3080 g between
them, was referred to the neonatology department from the Faranah prefecture,
300 km from Conakry, for care. The mother, a 30-year-old housewife, multipara,
eight gestures and nine parities, had not followed any prenatal consultation.
The delivery took place at home in a village with the death of the mother
immediately postpartum. The clinical and paraclinical investigation had concluded
with the diagnosis of Siamese type pygopage. After multidisciplinary
consultation, the surgical treatment by separation of the twins was carried out
at the age of 50 days with success and preservation of the physiological
functions. Conclusion: The birth of conjoined twins is extremely rare. Each
pair of Siamese is different and the surgical strategy must be adapted
according to the shared organs. The perfect multidisciplinary work of the
medical staff has been the main contributor to our
success.