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Conjoined twins

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Conjoined twins pregnancy on ultrasound.

Patient Data

Age: 27 weeks gestation
Gender: Female
mri
  • conjoined twins in a bicephalic presentation with fetuses facing each other.

  • the most prominent site of connection is the abdomen, an inseparable body, involving the lower thorax,  xiphoid, and abdomen

  • fused liver (it seems that each fetus has its own liver, but fused).  Also, each one has its own heart but approximates each other.

  • bowel loops fused or connected at the umbilical area, two heads, four extremities each, two spines, separate pelvises, and urinary tracts

  • single umbilical cord.

Case Discussion

Conjoined twins, at the abdomen, in keeping with omphalopagus twins.

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