Separation of Ischiopagus Conjoined Twins With Cloacal Anomaly

Conjoined twins are the result of a rare form of abnormal embryogenesis and occur with an incidence of 1 in 100,000 live births. As each case is anatomically unique, comprehensive evaluation, thorough preparation, and a specialized multidisciplinary team are integral to the success of separation surgery. We present here a case of 15-month-old female ischiopagus tetrapus conjoined twins with cloacal anomaly who underwent separation at our institution. Our success depended largely on thorough preoperative work-up, in addition to rigorous planning and preparation. This translated into a seamless multidisciplinary and holistic approach on the day of surgery.