Successful separation of ischiopagus tetrapus conjoined twins

Methods: A series of radiological examinations showed two separate normal upper tracts, two small intestines joined at the common terminal ileum, a single cecum, and a common colon connected with an anus in twin A. They had two retropubic bladders close together as a large bladder with a very thin midst membrane, two sacrums faced each other and division of pubic symphysis. Separation surgery was performed on the twins at the age of 3 months.

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