A rare case of thoraco omphalopagus twins

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dc.contributor.authorPrajapati, Neelen_US
dc.contributor.authorDiwan, Farheenbanuen_US
dc.contributor.authorBorole, Supriyaen_US
dc.date.accessioned2024-09-24T09:05:19Z
dc.date.available2024-09-24T09:05:19Z
dc.date.issued2023-09
dc.description.abstractConjoined twins, popularly referred as Siamese twins, are twins joined in utero, affecting less than 1% of the monozygotic pairs. The frequency of conjoined twins has prevalence of 1.5 in 1 lakh births and thoracopagus is the most common. Early diagnosis is important as many patients opt for termination because of the grave prognosis. Though the prognosis of conjoined twin is generally low, there is limited evidence regarding the optimum method of termination of the pregnancy particularly in advanced gestational age. We hereby, report a rare case of successful medical termination of thoraco-omphalopagus twins at 23 weeks and 2 days of gestation. A 27-years old, 2nd gravid woman with previous vaginal delivery diagnosed with conjoined thoraco-omphalopagus twin pregnancy at 23 weeks and 2 days of gestation after the detailed ultrasonographic evaluation. Proper assessment and counselling were done regarding prognosis. Different options of termination were discussed and patient opted for medical termination of pregnancy with possibility of reverting to hysterotomy in case difficulty is encountered. After a 2 day of cervical preparation, a successful vaginal delivery was conducted. Even though this is an experience from a single case, medical termination can be safely preformed in carefully selected cases of conjoined twins beyond 20 weeks of gestation. The adequate cervical preparation, pain control and careful monitoring of the procedure are critical for optimal outcome.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Model Hospital, Bapu Nagar, ESIC, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Model Hospital, Bapu Nagar, ESIC, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Model Hospital, Bapu Nagar, ESIC, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationPrajapati Neel, Diwan Farheenbanu, Borole Supriya . A rare case of thoraco omphalopagus twins . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Sep; 12(9): 2852-2855en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232211
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber9en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20232752en_US
dc.subjectConjoined twinen_US
dc.subjectThoraco-omphalopagusen_US
dc.subjectMedical termination of pregnancyen_US
dc.titleA rare case of thoraco omphalopagus twinsen_US
dc.typeJournal Articleen_US
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