Publication: Incidental Intraoperative Diagnosis of Term Conjoined Twins: A Case Series
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Conjoined twins (Siamese twins) represent the rarest form of twin pregnancy. Reported here are two rare cases of conjoined term twins presented to the department of Obstetrics and Gynaecology within 3 months. The first case, 32 years of gravida 6 parity 5 referred from periphery after full trial of labour following multi-organ dysfunction and term intrauterine dead twins. Intraoperatively it was dead conjoined thoraco-omphalopagus females. The patient died after 3 days following multiorgan dysfunction syndrome and disseminated intravascular coagulation. The second case, 22 years gravida 2 parity 1 also referred from periphery in second stage of labour with diagnosis of 39 weeks intrauterine dead twins with obstructed labour, delivered by caesarean with intraoperative conjoined dead females of thoracophagus type. Twins are high-risk pregnancy. This rare diagnosis with complications could have been prevented by regular antenatal checkups, ultrasonography performed by radiologists and early referral antenatally in labour along with multidisciplinary approach.
Description
Ravi Kumar Shah
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Arushi Jaiswal
Department of Anaesthesia, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Rehana Mushtaq
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Sana Ansari
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Pravin Shah
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Ruby Shrestha
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Sneha Shakya
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Saroj Yadav
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Madhu Sah
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Saruna Pathak
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Jagat Prasad Deep
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Keywords
Conjoined, Monozygotic twinning, Siamese twins, Twins