{"id":1946,"date":"2019-07-05T16:12:54","date_gmt":"2019-07-05T16:12:54","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1946"},"modified":"2019-07-05T16:12:54","modified_gmt":"2019-07-05T16:12:54","slug":"ijar-2019-231","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-231","title":{"rendered":"IJAR.2019.231"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.7.3\/IJAR.2019.231.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-7-3.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Case Report<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 7; Issue 3.1 (July 2019)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a06790-6792<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2019.231<\/h3>\n<h3 style=\"text-align: justify;\">AUTOPSY FINDINGS OF DICEPHALIC DIBRACHIUS PARAPAGUS CONJOINED TWINS: A CASE REPORT<\/h3>\n<p style=\"text-align: justify;\"><strong>Ato Ampomah Brown *<sup>1<\/sup>, Leonard Derkyi-Kwarteng <sup>2<\/sup>, Emmanuel Okai <sup>3<\/sup>, Kafui Akakpo <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1<\/sup> Department of Anatomy, School of Medical Sciences, University of Cape Coast, Ghana.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Department of Pathology, School of Medical Sciences, University of Cape Coast, Ghana.<\/p>\n<p style=\"text-align: justify;\"><sup>3<\/sup> Department of Paediatrics, School of Medical Sciences, University of Cape Coast, Ghana.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>AtoAmpomah Brown, University of Cape Coast, School of Medical Sciences, Department of Anatomy, Cape Coast, Ghana. Tel +233244648027\u00a0<strong>E-Mail: <\/strong>a.a.brown@uccsms.edu.gh<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\">This is a case report of a set of dicephalic parapagus twin delivered by caesarean section and who survived for 22 days postpartum. At autopsy each twin was found to have a separate upper gastrointestinal tract which eventually became shared in the mid gut region. Their vertebral columns ran side by side and also fused at the level of the lumbo-sacral region.\u00a0 Each twin possessed a pair of lungs but they shared a single fused heart. A complex cardiopulmonary system was identified which had the potential to support both twins.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words: <\/strong>Autopsy, Twins, Conjoined.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Mutchinick OM, Luna-Mu\u00f1oz L, Amar E, Bakker MK, Clementi M, Cocchi G, et al. Conjoined twins: a worldwide collaborative epidemiological study of the International Clearinghouse for Birth Defects Surveillance and Research. Am J Med Genet C Semin Med Genet. 2011; 157C (4):274-87.<\/li>\n<li style=\"text-align: justify;\">Hari S, Sharma R, Gupta AK, Das C, Singal AK. Magnetic resonance imaging of parapagus twins. Eur J Radiol 2004; 51: 25-29.<\/li>\n<li style=\"text-align: justify;\">Kaveh M, Kamrani, K, Naseri M, Danaeian M, Asadi F, Davari-Tanha F. Dicephalicparapagustribrachius conjoined twins in a triplet pregnancy: a case report. J Family Reprod Health 2014; 8:83.<\/li>\n<li style=\"text-align: justify;\">Karaer A, Tanr\u0131kulu \u0130, G\u00fcne\u015f N, \u00c7ak\u0131r E, \u00d6zta\u015f A. Parapagusdicephalusdibrachusdipus: a case of conjoined twins. J Turk GerGynecolAssoc 2009; 10:241.<\/li>\n<li style=\"text-align: justify;\">Martinez- Frias ML, Bermejo E, Mendioroz J, Rodriguez- Pinilla E, Blanco M, Eg\u00fces J, Felix V, Garcia A, Huertas H, Nieto C, Lopez JA, Lopez S, Paisan L, Rosa A, Vazquez MS. Epidemiological and clinical analysis of a consecutive series of conjoined twins in Spain. J PediatrSurg 2009; 44: 811-820.<\/li>\n<li style=\"text-align: justify;\">Kaufman MH. The embryology of conjoined twins. Child NervSyst 2004; 20: 508-525.<\/li>\n<li style=\"text-align: justify;\">Barth RA, Filly RA, Goldberg JD, Moore P, Silverman NH. Conjoined twins: prenatal diagnosis and assessment of associated malformations. Radiology 1990; 177: 201-207.<\/li>\n<li style=\"text-align: justify;\">Spencer R. Theoretical and analytical embryology of conjoined twins: part I: embryogenesis. 2000 ClinlAnat; 13: 36-53.<\/li>\n<li style=\"text-align: justify;\">Harma, M, Harma M, Mi Z, Oksuzler C. Vaginal delivery of dicephalicparapagus conjoined twins: case report and literature review. Tohoku J Exp Med 2005; 205:179-185.<\/li>\n<li style=\"text-align: justify;\">Singhal, AK, Agarwal GS, Sharma S, Gupta AK, Gupta DK. Parapagus conjoined twins: complicated anatomy precludes separation. Journal of Indian Association of Pediatric Surgeons 2006; 11:145.<\/li>\n<li style=\"text-align: justify;\">Groner JI, Teske DW, Teich S. Dicephalusdipusdibrachius: an unusual case of conjoined twins. J PediatrSurg 1996; 31:1698-1700.<strong>\u00a0<\/strong><\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Ato Ampomah Brown, Leonard Derkyi-Kwarteng, Emmanuel Okai, Kafui Akakpo. AUTOPSY FINDINGS OF DICEPHALIC DIBRACHIUS PARAPAGUS CONJOINED TWINS: A CASE REPORT. Int J Anat Res 2019;7(3.1):6790-6792.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2019.231\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Case Report Volume 7; Issue 3.1 (July 2019) Page No.:\u00a06790-6792 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2019.231 AUTOPSY FINDINGS OF DICEPHALIC DIBRACHIUS PARAPAGUS CONJOINED TWINS: A CASE REPORT Ato Ampomah Brown *1, Leonard Derkyi-Kwarteng 2, Emmanuel Okai 3, Kafui Akakpo 2. *1 Department of Anatomy, School of Medical Sciences, University of Cape Coast, Ghana. 2 Department of Pathology, School<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-231\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1946"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1946"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1946\/revisions"}],"predecessor-version":[{"id":1981,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1946\/revisions\/1981"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}