Journal of Medical Case Reports (Feb 2010)

Dicephalus parapagus conjoined twins discordant for anencephaly: a case report

  • Udo Jacob J,
  • Archibong Ayi E,
  • Olasode Babatunde J,
  • Usang Usang E,
  • Eduwem Diana-Abasi U

DOI
https://doi.org/10.1186/1752-1947-4-38
Journal volume & issue
Vol. 4, no. 1
p. 38

Abstract

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Abstract Introduction Cases of conjoined twins occur so rarely that it is important to learn as much as possible from each case. Case presentation We present a case of 9-hour-old, female, Nigerian dicephalus parapagus conjoined twins discordant for anencephaly diagnosed only after the birth of the twins. The anencephalic twin was stillborn while the normal one died within 9 hours of birth from cardiopulmonary failure. Conclusion Many congenital defects of interest can now be detected before birth. A severe lesion such as that found in our index case, which is incompatible with postnatal life, requires counselling. If detected early enough during a properly monitored antenatal care, it may indicate termination of pregnancy.