case_images: PMC3898379_01
case_images: 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.
case_images: 1471-2431-14-13-1.jpg
case_images: PMC3898379_02_1471-2431-14-13-1.jpg
case_images: F1
case_images: Diagnostics on admission to our unit were similar compared to twin I (see Figure 1b).
case_images: PMC3898379_02
case_images: 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.
case_images: 1471-2431-14-13-1.jpg
case_images: PMC3898379_02_1471-2431-14-13-1.jpg
case_images: F1
case_images: Diagnostics on admission to our unit were similar compared to twin I (see Figure 1b).
case_images: 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.
case_images: 1471-2431-14-13-2.jpg
case_images: PMC3898379_02_1471-2431-14-13-2.jpg
case_images: F2
case_images: Pancreas histology showed dilated acini and ducts filled up with mucus (see Figure 2a-d).
case_images: Abdomen of twin II after repeated unsuccessful surgery.
case_images: 1471-2431-14-13-3.jpg
case_images: PMC3898379_02_1471-2431-14-13-3.jpg
case_images: F3
case_images: Due to distension the abdomen had to be left open (see Figure 3).