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Baby Dominique is prepared for surgery at Advocate Children's Hospital. Photo: Advocate Children's Hospital

‘Parasitic twin’ removed from baby Dominique, born with four legs and two spines

Surgeons in the US have successfully operated on a baby from Africa who was born with two spines and an extra set of legs protruding from her neck.

Advocate Children’s Hospital in Chicago l announced Tuesday that 10-month-old Dominique from Ivory Coast, or Cote d’Ivoire, in West Africa, is recovering well from the March 8 surgery. The baby has already started sitting up again, said Nancy Swabb, who is hosting the infant in her Edgebrook neighbourhood home during the infant’s recovery in the US.

Doctors expect she’ll be able to live a normal, fully functional life. “Her recovery has been amazing,” Swabb said. “Children are so resilient.”

Not many hospitals have done such operations, and the surgery was the first of its kind ever performed by Advocate Children’s Hospital.

Dominique was born with what’s known as a parasitic twin, said Dr Robert Kellogg, one of the five surgeons who operated on Dominique. The other twin, however, never fully developed. Only the lower half of that twin’s body formed, and Dominique was born with that parasitic twin joined to her spine, Kellogg said.
Nancy Swabb, of Chicago, holds 10-month-old Dominique, who was born with four legs and two spines, at a press conference at Advocate Children's Hospital in Chicago on Tuesday. Photo: TNS

Only a handful of cases like Dominique’s, involving a parasitic twin attached at the spine, have ever been documented, he said.

The surgery lasted about six hours. The surgeons had to separate bone, blood vessels and nerves, Kellogg said. “It was very complicated because there were all kinds of different connections between Dominque and the twin,” he said.

“While it’s not something that this hospital has done before, we certainly had the confidence we could plan and perform this surgery and have a good outcome at the end,” Kellogg said. “We really do have the capacity to care for these very complicated patients that have a lot of needs.”

Swabb says Dominique can now sit up, raise her hands and reach for things, which she couldn’t do before.
Nancy Swabb, left, and her daughter Mara, 9, play with 10-month-old Dominique. Photo: TNS

One of Advocate’s surgeons, Dr John Ruge, had a relationship with the nonprofit Children’s Medical Missions West, which contacted him to see if he could help Dominique, Kellogg said. The Ohio-based organisation describes itself as a nonprofit Christian organisation that finds free medical care for children who can’t necessary get care in their home countries. Attempts to reach the group were not immediately successful.

The organisation also finds host families, such as the Swabbs, to care for children while they’re receiving medical care in the US. Nancy Swabb said Dominique arrived in the US in early February.

Swabb said she volunteered to host Dominique after seeing a Facebook post featuring a photo of the little girl in her mother’s lap. Within two weeks of seeing that Facebook post, Dominique and an escort flew from her home in the city of Abidjan to Chicago, where she met Nancy Swabb, her husband and their two daughters, ages 9 and 15.

Dominique likely will head home to her mother, father and three older sisters, who’ve been getting regular updates on the baby’s condition, in mid-April, Swabb said. Dominique’s parents weren’t able to come due to cost, an Advocate Children’s Hospital spokeswoman said.

Additional reporting by Associated Press

This article appeared in the South China Morning Post print edition as: surgery for baby born with four legs
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