A successful separation of omphalopagus twins during COVID-19 pandemic: A case report
DOI:
https://doi.org/10.24198/jkp.v11i1.2129Keywords:
conjoined twins, omphalopagus, COVID-19, congenital abnormalitiesAbstract
Background: Omphalopagus is a rare condition involving digestive system and abdominal wall fusion. This study reports an omphalopagus case during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Indonesia.
Case: Male conjoined twins, aged 14 months, were diagnosed with omphalopagus and several organ failures. We performed separation surgery of the omphalopagus with primary closure and post-surgical care for fifteen days. The early surgery was preferable in this case due to life-threatening issues of COVID-19, despite omphalopagus separation may cause post-surgical complications. Furthermore, the emerging pandemic conditions also required a more stringent procedure to avoid the risk of viral spread.
Conclusion: We conclude that, in the lack of evidence-based instruction for hospital care during the early phase of COVID-19 in Indonesia, life-saving surgical considerations from death due to complications of COVID-19 infection and acute respiratory distress syndrome must be performed and prioritized. However, potential omphalopagus complications must be evaluated.
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Copyright (c) 2023 Monica Bellynda, Muhammad David Perdana Putra, Suwardi Suwardi, Nunik Agustriani, Faizal Muhammad
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