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Dicephalus parapagus conjoined twins discordant for anencephaly: a case report
Usang E Usang1, Babatunde J Olasode, Ayi E Archibong
1University of Calabar/University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria. usangue@yahoo.co.uk.
Introduction:
Cases of conjoined twins occur so rarely that it is important to learn as much as possible from each case.
Case Presentation:
We present a case of 9-hour-old, female, Nigerian dicephalus parapagus conjoined twins discordant for anencephaly diagnosed only after the birth of the twins. The anencephalic twin was stillborn while the normal one died within 9 hours of birth from cardiopulmonary failure.
Conclusion:
Many congenital defects of interest can now be detected before birth. A severe lesion such as that found in our index case, which is incompatible with postnatal life, requires counselling. If detected early enough during a properly monitored antenatal care, it may indicate termination of pregnancy.
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