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Thoraco-omphalopagus conjoined twin: A rare case report
Diptee Poudel1, Suraj Shrestha1, Roshan Aryal1
1Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Nepal.
International Journal of Surgery Case Reports
|September 22, 2022
Summary
Conjoined twins are rare, with unclear causes and high mortality. This case highlights the critical role of obstetricians in prenatal diagnosis and management of complex twin gestations.
Area of Science:
- Perinatology
- Maternal-Fetal Medicine
- Genetics
Background:
- Conjoined twinning is a rare developmental anomaly with poorly understood etiology.
- High rates of stillbirth and neonatal mortality are associated with conjoined twins.
Observation:
- A third-trimester diagnosis of conjoined twins was made in a 33-year-old gravida 2 para 1 mother with no prior antenatal care.
- The pregnancy was terminated via cesarean section, resulting in the delivery of conjoined twins who died within 4 hours of birth.
Findings:
- Conjoined twin gestations present unique obstetric management challenges.
- Early ultrasonography and fetal echocardiography are crucial for diagnosis and evaluation, irrespective of fusion site.
- Cesarean section is the recommended delivery method to mitigate complications.
Implications:
- Timely prenatal diagnosis of conjoined twins is essential.
- Comprehensive counseling and interdisciplinary care coordination by obstetricians are vital.
- Improved prenatal detection and management strategies are needed for conjoined twin pregnancies.
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