Thoracophagus conjoined twin: A case report

ISRN Obstetrics and Gynecology, 2011

Objective. Conjoined twin is a rarely seen congenital anomaly together with severe mortality and morbidity. The more common types of conjoined twins include the thoracopagus type, where the fusion is anterior, at the chest, and involves the heart. We are reporting one case of conjoined thoracopagus twins diagnosed by ultrasonography at 11 weeks. Case Report. In a multigravid pregnant woman who has been admitted to our clinic with a diagnosis of conjoined twins, thoracopagus, by ultrasonography at an 11-week gestation, termination of the pregnancy was performed. Conclusion. Making an early diagnosis with ultrasonographic examination gives the parents a chance to elect pregnancy termination.

Journal of Chitwan Medical College, 2019

A 27 years old primigravida woman at 19 weeks of gestation was came for routine antenatal checkup in Chitwan Medical College was diag­nosed as twin pregnancy with thoracophagus conjoined twin. The fetal biometrics of both were consistent with the gestational age. Fetuses were found with fusion of the skin contour, at the level of the lower chest with complex appearing fused cardiac near midline and liver ap­pears separate. Both fetal heads were in breech presentation facing faces with each other at the same level. Bilateral upper and lower limbs were identified in both fetuses with same gender. The parents decided to terminate the pregnancy but refused autopsy.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2014

Conjoined twins are among rare clinical conditions observed by obstetricians. Due to rare incidence of this condition there is general lack of knowledge among obstetricians, especially at primary care level which leads to missed diagnosis during antenatal period. The management of this condition is complex especially in cases where the diagnosis is not known before onset of labour. A 30-year old Hindu lady was referred to us from other hospital with diagnosis of twin pregnancy and prolonged second stage of labour. Clinical examination revealed findings of ruptured uterus and foetal head of one baby and feet of second baby were outside the introitus. Emergency laparotomy was done which revealed conjoined twins. This article report clinical course of a thoracopagus conjoined twin. The relevant literature is also reviewed.

Bangladesh Journal of Medical Science, 1970

A patient at her 38+ wks of pregnancy as a ultrasonographically diagnosed case of conjoined twin admitted in our department with ruptured membrane. Two live female babies joined at the chest were delivered by caesarean section. The parents refused a separation operation and the mother and the babies were discharged from hospital at 6th post natal day. A review of the literature suggests that early diagnosis by a combination of ultrasound and MRI is essential for management as it provides prognosis for viability and process of surgical separation and also the opportunity for early counseling of parents and termination if indicated. Key world: Conjoined twins; thoracopagus; prenatal diagnosis; separation procedure DOI: http://dx.doi.org/10.3329/bjms.v10i4.9504 BJMS 2011; 10 (4): 289-292

Obgynia, 2024

Introduction: Thoraco-omphalopagus conjoined twins are a rare occurrence of monozygotic pregnancy that involves fusion of the anterior thorax and abdomen. This type presents a variety of cardiac anomalies, which contribute to its generally unfavorable prognosis. Case Presentation: A 32-year-old multigravida with Gravida 6, Para 4, and Abortus 1 was referred at 28 weeks of gestation. Ultrasonography revealed thoracoomphalopagus-conjoined twins in which the fetuses joined ventrally. Prenatal MRI revealed the sharing of a single liver, omentum, and diaphragm. Partial fusion was observed in the sternal bone, pericardium, and anterior wall of the hearts, but with separated heart chambers and unsynchronized heartbeats. Classical cesarean section was performed at 38 weeks of gestational age. Histopathology revealed a single placenta with one umbilical cord, suggesting monochorionic-monoamniotic pregnancy. Healthy female babies were born with a combined weight of 5400 g. Post-delivery echocardiography revealed a cardiac anomaly characterized by malposition of the great arteries in a twin. After 13 h of close monitoring in the NICU, the twins died due to cardiac complications. Conclusion: The management of pregnancy involving thoraco-omphalopagus conjoined twins requires a comprehensive and multidisciplinary approach aiming to provide holistic care, addressing complex medical risks, and ethical dilemmas associatedwith these twins.

Ankara Üniversitesi Tıp Fakültesi Mecmuası, 2011

A 29-year old woman, gravida 2, para 1 was referred for routine scan at 12 weeks. Sonographic examination performed at 12 gestational weeks revealed conjoined twins. The fetal biometry of both twins was consistent with the menstrual age. The upper and lower limbs of both twins were normal. Fetuses were positioned face-to-face and fused from umbilicus to lower thorax. Fetuses were found to share the heart and liver. One fetus had cystic hygroma. The parents opted to terminate the pregnancy but refused autopsy.

Journal of Perinatal Medicine, 1989

International Journal of Advanced Research (IJAR), 2025

Conjoined twins are an extremely rare form of monozygotic twinning, with an estimated incidence of between 1 in 100,000 and 1 in 250,000 live births, and are rarely encountered by obstetricians. Prompt diagnosis and management are essential, as around 70% of conjoined twins die within 48 hours of birth or present with lethal congenital malformations. We report the case of a thoraco-omphalopagus twin pregnancy terminated at 13 weeks amenorrhea.

International Journal of Biomedical Research, 2013

Conjoined twins is one of the rarest forms of twin gestation. The reported incidence varies from 1 in every 200 identical twin pregnancies to 1 in 50 000 to 1 in 100 000 live births. Majority of cases reported in literature were diagnosed in first trimester of pregancy and have undergone termination on parents request in view of poor fetal outcome. We report a case of live thoraco omphalopaguspagus conjoined twins, presented at 36 weeks of geatation with breech presentation, weighing 4.2 kg, delivered by elective caesarean section. Babies were sharing heart and greater vessels. Babies were referred to cardio thoracic centre for further evaluation and surgical intervention.Parents were counselled about the possible adverse perinatal outcome.

Indian Journal of Radiology and Imaging, 2006