Omphalopagus conjoined twins separation during coronavirus disease-19 pandemic era: A case report

Tri Hening Rahayatri, Rizky Amaliah, Nandita Melati Putri, Niken Wahyu Puspaningtyas, Mulya Rahma Karyanti, Aryono Hendarto

Research output: Contribution to journalArticlepeer-review


Introduction and importance: Conjoined twin is a rare congenital anomaly characterized by a fusion of certain anatomical structures. Coronavirus-19 (COVID-19) is a new emerging infectious respiratory disease affecting worldwide and potentially leads to acute respiratory distress (ARDS) in children. COVID-19 has reconstructed the healthcare system, including surgical care and decision-making. Case presentation: Herein we describe a surgical separation of 2.5 months old omphalopagus conjoined twins, with one of them (Baby A) presenting COVID-19-associated respiratory distress, as well as the challenges faced during the preparation and the execution of the complex surgical procedure. Clinical discussion: Baby A underwent antiviral therapy, oxygen supplementation, and ventilation in the ICU, while baby B remained stable and confirmed negative for SARS-CoV-2. The separation surgery was conducted after baby A had become clinically stable. Defect closure and reconstruction were accomplished. At one week follow-up, Baby A died of lung infection, while baby B remained well after one year. Conclusion: The complexity of surgical separation requires careful planning by a multidisciplinary team. Surgical separation of conjoined twins during the pandemic era has not been reported much in the literature, more reports are required to provide further insight.

Original languageEnglish
Article number106150
JournalInternational Journal of Surgery Case Reports
Publication statusPublished - Jul 2021


  • Case report
  • Children
  • Conjoined twins separation
  • COVID-19
  • Omphalopagus conjoined twins


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