A rare case of dicephalic parapagus conjoined twins

Edouard N’Guessan; Roseline Kouame N’Guessan; Franck Gbeli; Privat Guie

doi:10.18203/2320-1770.ijrcog20196057

Authors

Edouard N’Guessan Department of Obstetrics and Gynaecology, Treichville University Hospital, Abidjan, Côte d’Ivoire
Roseline Kouame N’Guessan Department of Pediatrics, College of Medicine, Felix Houphouet-Boigny University, Abidjan, Côte d’Ivoire
Franck Gbeli Department of Obstetrics and Gynaecology, Treichville University Hospital, Abidjan, Côte d’Ivoire
Privat Guie Department of Obstetrics and Gynaecology, Treichville University Hospital, Abidjan, Côte d’Ivoire

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20196057

Keywords:

Conjoined twins, Dicephalus, Parapagus, Ultrasonography

Abstract

Dicephalic parapagus are one of the rare forms of conjoined twins. Their prognosis is usually very poor. Early prenatal diagnosis of these serious congenital abnormalities remains a real challenge for health systems in the low-income countries. The late antenatal diagnosis of a case of this abnormality was presented. The diagnosis was made at the 33^rd week on the only ultrasound performed during the pregnancy. The pregnancy was interrupted with the agreement of the couple and delivery was performed by caesarean section.

Metrics

Metrics Loading ...

References

Mutchinick OM, Luna-Muñoz L, Amar E, Bakker MK, Clementi M, Cocchi G, et al. Conjoined twins: a worldwide collaborative epidemiological study of the International Clearinghouse for birth defects surveillance and research. Am J Med Genet C (Semin Med Genet). 2011;157:274-87.

Spencer R. Anatomic description of conjoined twins: a plea for standardized terminology. J Pediatr Surg. 1996;31:941-7.

Başaran S, Güzel R, Keskin E, Sarpel T. Parapagus (dicephalus, tetrabrachius, dipus) conjoined twins and their rehabilitation. Turk J Pediatr. 2013;55(1):99-103.

Blé RK, Séni K, Adjoussou S, Quenum G, Akaffou E, Koné M. Craniopagus conjoined twins: difficulties of management in Africa. Gynecol Obstet Fertil. 2008;36(1):56-9.

Cuillier F, Dillon KC, Grochal F, Scemama JM, Gervais T, Cerekja A, et al. Conjoined twins: what ultrasound may add to management. J Prenat Med 2012;6:4-6.

De Silva RS, Amaradivakara PW. Antenatal Diagnosis and management of conjoined twins: a case report. SLJOG. 2015;37(2):24-6.

Mathew RP, Francis S, Basti RS, Suresh HB, Rajarathnam A, Cunha PD, et al. Conjoined twins- role of imaging and recent advances. J Ultrason. 2017;17(71):259-66.

Tansel T, Yazicioğlu F. Cardiac and other malformations in parapagus twins. Arch Gynecol Obstet. 2004;269(3):211-3.