PMC9252611_01
The conjoined twins upon initial assessment following birth. Note: the conjoined segment with a dusky segment of small bowel.
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Both babies had imperforate anus, exstrophy, and weighed 800 g each ( Fig. 1 ). Intraoperative examination of the conjoined parts showed segments of dusky small bowel and the umbilical cords, serving as points of attachment between the babies ( Fig. 1 ).
An intraoperative image demonstrating the small bowel of baby 1 ending distally in the anti-mesenteric boarder of the terminal ileum in Baby 2.
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FI210639cr-2
 The small bowel ended distally in the antimesenteric border of the terminal ileum in baby 2 ( Fig. 2 ).
An immediate post-operative image of both babies. Note the end ileostomy in baby 1 and an end colostomy with a mucous fistula in baby 2. A vesicostomy was created in both babies.
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FI210639cr-3
In both babies the conjoint bladders were separated and matured into a vesicostomy, and the omphalocele was closed ( Fig. 3 ).
(
A
and
B
) Illustrates a follow-up image at 5 months of age for both babies.
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(
A
,
B
) Illustrates a follow-up image of age for both babies.
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FI210639cr-5