Volume 27, Issue 131, January 2023

Thoracophagus conjoined twin: A case report

Rahul Agola¹, Tanvi Chaurasia², Geeta Chaurasia³

¹Post Graduate Resident, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
²Post Graduate Resident, Department of Orthopaedics, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
³Senior Consultant, Department of Obstetrics and Gynaecology, District hospital Chhatarpur (Madhya Pradesh), India

ABSTRACT

Conjoined twins are a relatively uncommon congenital anomaly with a significant mortality and morbidity rate. Twins who are conjoined are the thoracopagus variation is one of the most common types of conjoined twins, in which the fusion is anterior, at the chest and affects the heart. We describe a case of a 19 years old primigravida who delivered conjoined twins by thoracopagus. A pregnant woman who had reached full cervical dilatation was admitted to the delivery room. She had an ultrasound, which revealed bigeminal pregnancy with two breech-presented foetuses that were perhaps conjoined twins. The foetus' dimensions determined by ultrasound corresponded to a gestational age of 22 weeks. The first foetus' heart rate was roughly 40 beats per minute, while the second foetus' heart rate was imperceptible. She delivered herself by manually extracting the foetuses. Unable to show any signs of life, one male and one female foetus were delivered. The cause of death was determined by autopsy to be thoracophagus.

Keywords: Pregnancy, conjoined twins, thoracophagus, ultrasonography

Medical Science, 2023, 27, e61ms2722

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DOI: https://doi.org/10.54905/disssi/v27i131/e61ms2722

Published: 23 January 2023