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Dicephalus parapagus conjoined twins discordant for anencephaly: a case report

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Author(s): Usang Usang | Olasode Babatunde | Archibong Ayi | Udo Jacob | Eduwem Diana-Abasi

Journal: Journal of Medical Case Reports
ISSN 1752-1947

Volume: 4;
Issue: 1;
Start page: 38;
Date: 2010;
Original page

ABSTRACT
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.

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