Conjoined twins: thoracopagus

Case contributed by Imad Awwad
Diagnosis certain

Presentation

1 day old conjoined twins

Patient Data

Age: 1 day
Gender: Male
Coronal 3D reconstruction.
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Face to face fusion at the level of thorax and abdomen is noted with common heart and diaphragm, and absent sternum body. Pulmonary consolidation is noted at the gravity dependent lung of each twin. There is an ill-defined border line separating the two livers. The right twin's liver seems to be enlarged with heterogeneous enhancement and a sign of intra-hepatic bile ducts dilatation. The urinary system in both twins is normal.

Case Discussion

Classic case of thoracopagus which is a type of conjoined twins with face to face fusion at the level of thorax and upper abdomen. Heart anomalies are very common finding along with hepatobiliary anomalies.

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