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Nartono Kadri
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Health Professions Medicine & Pharmacology

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Ischiopagus Tetrapus Conjoined Twins Nartono Kadri; Harapan Parlindungan Ringoringo; Darmawan Kartono
Paediatrica Indonesiana Vol 36 No 7-8 (1996): July - August 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.621 KB) | DOI: 10.14238/pi36.7-8.1996.169-76

Abstract

We report a case of ischiopagus tetrapus conjoined twins with one pas­sageway (cloaca type) and bom at term by spontaneously vaginal dcliveiy, with a combined birth weight of 5000 grams. There was no history of twin in the family. Dur­ing hospitalization, the conjoined twins suffered from sepsis due to ascending infection from cloacal portion, At the age of 17 days, an exploratory laparatomy and divided co­lostomy was performed. The postoperative complications were bleeding and sepsis. The bleeding could be properly handled only in 4 days after the treatment, whilst sepsis could not be overcome. Even in the 16th day after the operation, a peritonitis occurred followed by intestines prolapse from the edge of operative incision (on the 19th post­operative day) resulting in the death of the conjoined twins.
Co-Authors Darmawan Kartono Harapan Parlindungan Ringoringo