title: Successful separation of pygopagus conjoined twins and primary skin closure using V-shaped flaps.
abstract: Pygopagus conjoined twins were born by caesarean section at 34 weeks of gestation. Initial evaluation revealed no other abnormalities apart from their attachment at lower back, buttocks and perineum. They had two separate anal and urogenital openings. Their investigations included roentgenograms, ultrasound, barium enema, cystourethrogram, CT scan and MRI. There were two separate spinal columns fused distally at the lower sacral level. Lower gastrointestinal studies showed two separate rectums and cystourethrogram showed normal and separate urinary tracts. MRI showed a single dural sac between two fused sacral bones with no other vertebral anomalies. They were successfully separated with primary skin closure using V-shaped flaps.
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al-Ain, Abu Dhabi, United Arab Emirates.
authors.forename: Hilal
authors.initials: H
authors.lastname: Matta
authors.forename: John
authors.initials: J
authors.lastname: Auchinclos
authors.forename: Alic
authors.initials: A
authors.lastname: Jacobsz
authors.forename: Akhtar
authors.initials: A
authors.lastname: Nawaz
authors.forename: Ahmed H
authors.initials: AH
authors.lastname: Al-Salem
mesh_terms: D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D019651:Plastic Surgery Procedures / Q000379:methods; D012007:Rectum / Q000601:surgery; D012447:Sacrum / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome; D014428:Twins, Conjoined / Q000601:surgery*