The separation of pygopagus conjoined twins with fused spinal cords and imperforate anus

Barrett P. Cromeens; Jeffrey R. Leonard; Lance S. Governale; Richard E. Kirschner; Gregory D. Pearson; Marc A. Levitt; Richard J. Wood; Rajan K. Thakkar; Monica P. Islam; Jennifer L. Mckinney; Emmett E. Whitaker; Jason A. Bryant; Brent H. Adler; William C. Ray; Brad Hoehne; Gail E. Besner

doi:10.1016/j.epsc.2016.06.005

The separation of pygopagus conjoined twins with fused spinal cords and imperforate anus

Barrett P. Cromeens, Jeffrey R. Leonard, Lance S. Governale, Richard E. Kirschner, Gregory D. Pearson, Marc A. Levitt, Richard J. Wood, Rajan K. Thakkar, Monica P. Islam, Jennifer L. Mckinney, Emmett E. Whitaker, Jason A. Bryant, Brent H. Adler, William C. Ray, Brad Hoehne, Gail E. Besner

Research output: Contribution to journal › Article › peer-review

Abstract

Each set of conjoined twins has specific anatomic features dictating unique challenges to separation. Overcoming these challenges requires creative solutions that necessitate interdisciplinary collaboration. We present a unique case of pygopagus conjoined twins with fused spinal cords, imperforate anus without fistula, and a single anal sphincter complex. Separation included the use of novel applications of 3D printing and neurophysiologic monitoring. The 3D print helped to clarify the complex anatomy and facilitate communication during planning sessions. The neurophysiologic monitoring helped to distinguish a plane of separation for the spinal cords as well as the shared anal sphincter. Implementing these technologies and thus successfully separating these twins safely required a multidisciplinary team that extended beyond clinical specialties.

Original language	English (US)
Pages (from-to)	47-49
Number of pages	3
Journal	Journal of Pediatric Surgery Case Reports
Volume	11
DOIs	https://doi.org/10.1016/j.epsc.2016.06.005
State	Published - Aug 1 2016
Externally published	Yes

Keywords

3D printing
Conjoined twins
Pygopagus

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

Access to Document

10.1016/j.epsc.2016.06.005

Cite this

Cromeens, B. P., Leonard, J. R., Governale, L. S., Kirschner, R. E., Pearson, G. D., Levitt, M. A., Wood, R. J., Thakkar, R. K., Islam, M. P., Mckinney, J. L., Whitaker, E. E., Bryant, J. A., Adler, B. H., Ray, W. C., Hoehne, B., & Besner, G. E. (2016). The separation of pygopagus conjoined twins with fused spinal cords and imperforate anus. Journal of Pediatric Surgery Case Reports, 11, 47-49. https://doi.org/10.1016/j.epsc.2016.06.005

Cromeens, BP, Leonard, JR, Governale, LS, Kirschner, RE, Pearson, GD, Levitt, MA, Wood, RJ, Thakkar, RK, Islam, MP, Mckinney, JL, Whitaker, EE, Bryant, JA, Adler, BH, Ray, WC, Hoehne, B & Besner, GE 2016, 'The separation of pygopagus conjoined twins with fused spinal cords and imperforate anus', Journal of Pediatric Surgery Case Reports, vol. 11, pp. 47-49. https://doi.org/10.1016/j.epsc.2016.06.005

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abstract = "Each set of conjoined twins has specific anatomic features dictating unique challenges to separation. Overcoming these challenges requires creative solutions that necessitate interdisciplinary collaboration. We present a unique case of pygopagus conjoined twins with fused spinal cords, imperforate anus without fistula, and a single anal sphincter complex. Separation included the use of novel applications of 3D printing and neurophysiologic monitoring. The 3D print helped to clarify the complex anatomy and facilitate communication during planning sessions. The neurophysiologic monitoring helped to distinguish a plane of separation for the spinal cords as well as the shared anal sphincter. Implementing these technologies and thus successfully separating these twins safely required a multidisciplinary team that extended beyond clinical specialties.",

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author = "Cromeens, {Barrett P.} and Leonard, {Jeffrey R.} and Governale, {Lance S.} and Kirschner, {Richard E.} and Pearson, {Gregory D.} and Levitt, {Marc A.} and Wood, {Richard J.} and Thakkar, {Rajan K.} and Islam, {Monica P.} and Mckinney, {Jennifer L.} and Whitaker, {Emmett E.} and Bryant, {Jason A.} and Adler, {Brent H.} and Ray, {William C.} and Brad Hoehne and Besner, {Gail E.}",

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doi = "10.1016/j.epsc.2016.06.005",

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AU - Islam, Monica P.

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AU - Whitaker, Emmett E.

AU - Bryant, Jason A.

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The separation of pygopagus conjoined twins with fused spinal cords and imperforate anus

Abstract

Keywords

ASJC Scopus subject areas

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