PMC3898379_01
Initial X-rays of both twins. Chest and abdominal X-ray with contrast agent upon initial presentation of twin I (a) and II (b) showing contrast agent stopping at the inflated, distended small intestine next to signs of neonatal respiratory distress syndrome.
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F1
Diagnostics on admission to our unit were similar compared to twin I (see Figure 1b).
PMC3898379_02
Initial X-rays of both twins. Chest and abdominal X-ray with contrast agent upon initial presentation of twin I (a) and II (b) showing contrast agent stopping at the inflated, distended small intestine next to signs of neonatal respiratory distress syndrome.
1471-2431-14-13-1.jpg
PMC3898379_02_1471-2431-14-13-1.jpg
F1
Diagnostics on admission to our unit were similar compared to twin I (see Figure 1b).
Autopsy findings of twin I (histology). Pancreatic tissue shows distinctive PAS-positive intraductal mucous masses ( ) and dilatation of the pancreatic ducts (rectangles). PAS staining, A 10x, B 20x. Consistent with meconium ileus the large intestine is filled with densely packed stratified mucus ( ) while the mucosa is flattened ( ). PAS staining, C 4x, D 10x.
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F2
Pancreas histology showed dilated acini and ducts filled up with mucus (see Figure 2a-d).
Abdomen of twin II after repeated unsuccessful surgery.
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F3
Due to distension the abdomen had to be left open (see Figure 3).