Medical professionals successfully excise a parasitic conjoined twin from a young adult's torso, which was causing him to grow additional legs from his chest area.
Rare Surgery Successfully Removes Parasitic Twin from Indian Teenager
A 17-year-old boy in India has made a significant step towards living a normal life after undergoing a successful surgery to remove a parasitic twin attached to his breastbone. The surgery, which took place on Feb. 8, 2023, at the All India Institute Of Medical Science hospital in Delhi, marked a milestone in the treatment of this extremely rare condition.
Parasitic twins are a subtype of conjoined twins, a condition that occurs in approximately 1 in 50,000 to 1 in 200,000 births. Only 40 to 50 cases of parasitic twins have been documented in world medical literature. The formation of these twins may be due to embryonic fission or fusion, as the teenager's parasitic twin was attached to his chest with a blood supply coming from a vessel in his chest.
The surgery was complex, with up to 40% of the teenager's blood flow diverted to the parasitic twin during the operation. The surgeons skillfully managed to stabilize the boy's blood pressure when it dropped dramatically during the procedure.
Scans revealed a large cyst in the boy's abdomen that was removed during the surgery. The parasitic twin weighed almost 33 pounds (15 kilograms), a significant burden for the teenager who had dropped out of school due to living with the parasitic twin. The teenager expressed that he couldn't travel anywhere or do any physical activity while living with the parasitic twin.
After the surgery, the teenager is looking forward to a normal life and hopes to study and get a job. He is grateful for the medical team that performed the surgery and gave him a second chance at a regular life. The exact rate at which parasitic twins occur is unknown, but it is estimated to be less than one in a million births.
The development of parasitic twins is believed to arise mainly from incomplete splitting of the fertilized egg, resulting in one dominant twin and a dependent parasitic twin. The older fusion theory, suggesting that two separate embryos fuse together post-implantation, is no longer favored.
This successful surgery serves as a testament to the advancements in modern medicine and the dedication of medical professionals to push the boundaries of what is possible. The teenager's story is a beacon of hope for those affected by this rare condition, providing a glimmer of what a normal life can look like.
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