21 December 2009
Coagulation changes in a siamese twin in SIRS after death of the other twin: a case study
Marcin OwczarekABCDEFG, Roman KazmirczukABDG, Andrzej ProkuratAF, Malgorzata ChrupekAF, Kamila Sadaj-OwczarekABEFG, Krzysztof KuszaACDEGMed Sci Monit 2010; 16(1): CS1-5 :: ID: 878297
Abstract
Background
Conjoined twins represent a rare case of embryonic failure. Siamese twins' final outcome is usually associated with poor prognosis due to complications, among which the inflammatory and septic disturbances are often present.
Material and Method
The article describes Siamese twins of craniopagus type. One of the twins died of heart and aortic failure after 48 hours of life. The decision regarding surgical separation then became an emergency. At the same time laboratory results for the surviving twin I indicated steadily worsening coagulation functions and processes, which we believed were caused by the death of twin II, as well as by systemic inflammatory response syndrome (SIRS).
Results
Conclusions
Due to vascular conjunction between the twins' brains' circulatory systems the sequenced progress of coagulopathy was noticed in the surviving twin.
Keywords: Twins, Conjoined - surgery, Systemic Inflammatory Response Syndrome - complications, Dobutamine - therapeutic use, Blood Coagulation Disorders - etiology, Blood Chemical Analysis
Editorial
01 December 2021 : Editorial
Editorial: SARS-CoV-2 Vaccine Responses and Breakthrough COVID-19DOI: 10.12659/MSM.935624
Med Sci Monit 2021; 27:e935624
SARS-CoV-2/COVID-19
03 December 2021 : Laboratory Research
Influenza and Influenza-Like Respiratory Virus Infections in Children During the 2019/20 Influenza Season a...Med Sci Monit In Press; DOI: 10.12659/MSM.934862
08 November 2021 : Database Analysis
Virtual Screening and Molecular Docking to Study the Mechanism of Chinese Medicines in the Treatment of Cor...Med Sci Monit In Press; DOI: 10.12659/MSM.934102
01 November 2021 : Editorial
Editorial: What Can be Learned from National and International Vaccine Adverse Event Reporting Systems Duri...Med Sci Monit 2022; 28:e935299
01 December 2021 : Editorial
Editorial: SARS-CoV-2 Vaccine Responses and Breakthrough COVID-19Med Sci Monit 2021; 27:e935624
In Press
03 Dec 2021 : Clinical Research
A Retrospective Single-Center Study of 23 Patients to Compare Gait Before and After Total Hip Arthroplasty ...Med Sci Monit In Press; DOI: 10.12659/MSM.934558
03 Dec 2021 : Laboratory Research
Influenza and Influenza-Like Respiratory Virus Infections in Children During the 2019/20 Influenza Season a...Med Sci Monit In Press; DOI: 10.12659/MSM.934862
02 Dec 2021 : Clinical Research
Comparison of Outcomes Following Neuronavigation-Assisted Aspiration and Thrombolysis Using Single and Mult...Med Sci Monit In Press; DOI: 10.12659/MSM.934935
02 Dec 2021 : Clinical Research
Serum Levels of N-Terminal Pro-Brain Natriuretic Peptide in Gestational Hypertension, Mild Preeclampsia, an...Med Sci Monit In Press; DOI: 10.12659/MSM.934285
Most Viewed Current Articles
20 Mar 2020 : Clinical Research
Social Capital and Sleep Quality in Individuals Who Self-Isolated for 14 Days During the Coronavirus Diseas...DOI :10.12659/MSM.923921
Med Sci Monit 2020; 26:e923921
15 Apr 2020 : Clinical Research
Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 20...DOI :10.12659/MSM.924171
Med Sci Monit 2020; 26:e924171
05 May 2020 : Review article
An Evidence Based Perspective on mRNA-SARS-CoV-2 Vaccine DevelopmentDOI :10.12659/MSM.924700
Med Sci Monit 2020; 26:e924700
26 Apr 2020 : Clinical Research
Comparison of Prevalence and Associated Factors of Anxiety and Depression Among People Affected by versus P...DOI :10.12659/MSM.924609
Med Sci Monit 2020; 26:e924609