THORACO-ABDOMINOPAGUS CONJOINED TWINS : AN UNUSUAL CASE

Authors

  • Dr. Katha Desai Department of Obgy, Sassoon hospital, Pune. India
  • Dr. Ashwini Kale Assistant Lecturer, Department of Obgy, Sassoon Hospital, Pune. India
  • Dr. P. W. Sambarey Professor and Head of Department, Department of Obgy, Sassoon Hospital, Pune India

Keywords:

Conjoined twins, thoracopagus, omphalopagus, caesarean section for twins,, Siamese twins

Abstract

Conjoined twins represent one of the rarest forms of gestation with an estimated incidence of 1 in 50,000 to 1,00,000. A 19-year-old primi gravida, a resident of Ahmednagar was referred to our hospital from Baramati at 29 weeks gestation with an ultrasound suggestive of conjoint twins with anemia. Patient was admitted and was managed conservatively with intravenous iron sucrose and discharged after antenatal registration with us followed by careful and close antenatal follow up. She presented to us in labour on 24/11/15 and was posted for an emergency caesarean section. Conjoined twins of combined weight 3050 grams were extracted out, both female with a common heart and were handed over to pediatric surgeon. In conclusion, conjoined twins are associated with high perinatal mortality; therefore making an early diagnosis by means of ultrasound gives parents a chance to electively terminate pregnancy.

References

Tiran Dias, Amarnath Bhide . Arias' practical guide to high risk pregnancy and delivery. Fourth ed. India : Elsevier . C2015. Chapter 12, multiple pregnancy.

Manju Khemani, Renu Mishra. Ian Donald's practical obstetric problems, seventh ed. India : Wolters Kluver India pvt. Ltd. C2014. Chapter 18, multiple gestation.

Cunningham,Lenovo,Bloom. Williams obstetrics. 24th ed. United States of America. Mcgraw-Hill education. C2014. Chapter 45, multifetal pregnancy.

Additional Files

Published

15-04-2016

How to Cite

Dr. Katha Desai, Dr. Ashwini Kale, & Dr. P. W. Sambarey. (2016). THORACO-ABDOMINOPAGUS CONJOINED TWINS : AN UNUSUAL CASE. International Education and Research Journal (IERJ), 2(4). Retrieved from http://ierj.in/journal/index.php/ierj/article/view/191