A rare case report of conjoined twins: Thoraco-omphalopagus with anterior abdominal wall defect
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20211168Keywords:
Anterior abdominal wall defect, Caesarean section, Case report, Conjoined twin, Obstructed labour, Thoraco-omphalopagusAbstract
Conjoined twins are a rare deviation of monozygotic monoamniotic twins which results from fusion of the two at any part of their body. The prognosis is not good and associated with high mortality. Here we report a case of conjoined twin which was referred to our tertiary care hospital as twin pregnancy with impacted breech in obstructed labour. Taking mothers condition into account, she was taken for emergency caesarean section, performing which we realised that it was a conjoined twin. The baby were still born and conjoined at thorax and abdomen (thoraco-omphalopagus) with anterior abdominal wall defect in one and unrevealed sex in other. Current report emphasizes on making an early diagnosis of conjoined twin pregnancy, so that it can be managed at the earliest according to the gestational age.
References
Spitz L. Conjoined twins. Prenat Diagn. 2005;25(9):814-9.
Jaczyńska R, Niemiec KT, Przybyłkowska M, Dangel J, Zwoliński J, Helwich E, et al. Conjoined twins diagnostic problems, difficult decisions in choosing the most optimal management in one of the rarest pathologies of pregnancy. Ginekol Pol. 2005;76(8):602-11.
Weber MA, Sebire NJ. Genetics and developmental pathology of twinning. Semin Fetal Neonatal Med. 2010;15(6):313-8.
Machin GA. Heteropagus conjoined twins due to fusion of two embryos. Am J Med Genet. 1998;78(4):388-90.
Sharma M. Conjoined twins-thoraco-omphalopagus (type A). BJR Case Rep. 2015;2(1):20150016.
Donald I. Practical obstetric problems. 7th ed. India: Wolters Kluwer; 2014:353-6.
Cunningham L, Bloom D, Hoffman C. Obstetrics. 25th ed. USA: MC Graw Hill Education; 2018:863-9.
Rathod S, Samal S. Conjoined twins: report of two cases and review of literature. Int J Res Med Sci. 2014;2:1203.
Stone JL, Goodrich JT. The craniopagus malformation: classification and implications for surgical separation. Brain J Neurol. 2006;129(5):1084-95.
Chiabi A, Nkemayim D, Tchokoteu P-F, Guegang EG, Ndeki N N, Minkande JZ, et al. Conjoined twins in Cameroon: issues inherent in diagnosis and management in the African context. Afr J Reprod Health. 2009;13(3):127-35.
Sabih D, Ahmad E, Sabih A, Sabih Q. Ultrasound diagnosis of cephalopagus conjoined twin pregnancy at 29 weeks. Biomed Imaging Interv J. 2010;6(4):50-8.
