Anaesthetic management of a patient with thoracopagus

  • S Kiran PT.B.D. SHARMA PGIMS
  • Kiranpreet Kaur PT.B.D. SHARMA PGIMS, ROHTAK-124001. INDIA
  • K NR Rattan PT.B.D. SHARMA PGIMS
  • S K Rattan PT.B.D. SHARMA PGIMS
Keywords: Thoracopagus, Anaesthetic management

Abstract

We report the case of a 10-day-old male child weighing 3.5 kg, with mass over the sternal region, a set of four limbs and an omphalocoele that had undergone surgical separation. An exoparasitic twin had fully developed hind limbs, well-developed genitalia, one fully developed upper limb and another, underdeveloped upper limb. Echocardiography and a computed tomographic scan revealed no gross cardiac anomaly and the sharing of any other major organ was absent. The limbs of the parasite were lying in front of the neck and interfered with holding the mask in position. One anaesthetist held these limbs apart. We avoided the use of muscle relaxant out of fear that the large mass could hamper ventilation. The neonate was intubated successfully under deep inhalation anaesthesia. He had an uneventful recovery.

Author Biographies

S Kiran, PT.B.D. SHARMA PGIMS
M.D, DNB (Professor) Department of Anaesthesiology and Critical Care PT.B.D. Sharma PGIMS Rohtak-124001 India
Kiranpreet Kaur, PT.B.D. SHARMA PGIMS, ROHTAK-124001. INDIA
D.A, DNB (Registrar) Department of Anaesthesiology and Critical Care PT.B.D. Sharma PGIMS Rohtak-124001 India
K NR Rattan, PT.B.D. SHARMA PGIMS
M.S, MCH (Professor) Department of Pediatric Surgery PT.B.D. Sharma PGIMS Rohtak-124001 India
S K Rattan, PT.B.D. SHARMA PGIMS
M.S, MCH (Associate Professor) Department of Pediatric Surgery PT.B.D. Sharma PGIMS Rohtak-124001 India
Published
2010-05-03
Section
Case Studies