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Female omphalopagus twins underwent laparotomy an the second day of life after an antenatally diagnosed high jejunal bower obstruction. Bower resection and choldocho-enterostomies were performed. Despite recovery from laparotomy, the development of severe necrotizing enterocolitis (NEC) in one twin led to rapid deterioration and the death of both infants on day 34. The elucidation of the combined biliary tree, the dilemma of NEC in conjoined twins, and the possibilities of emergency separation are discussed. Consideration should be given to emergency separation of conjoined twins in the event of potentially lethal complications. Copyright (C) 1999 by W.B. Saunders Company.
Author(s): Jaffray B; Bianchi A; Russell SA; Dickson AP
Publication type: Article
Publication status: Published
Journal: Journal of Pediatric Surgery
Print publication date: 01/08/1999
ISSN (print): 0022-3468
ISSN (electronic): 1531-5037
Publisher: W.B. Saunders Co.
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