Triplet: Thoraco-omphalophagus Conjoint Twins and Malformed Fetus of Sokoto, North-Western Nigeria

A., Adamu and M., Omar and B. O., Onankpa and U., Abubakar and A., Zaki and A. A., Abdullahi and U. M., Sani and M. R., Jega and P. A., Nazish and H. O., Akinnibosun-Raji and AKoko, Nuhu (2023) Triplet: Thoraco-omphalophagus Conjoint Twins and Malformed Fetus of Sokoto, North-Western Nigeria. Journal of Advances in Medicine and Medical Research, 35 (17). pp. 61-68. ISSN 2456-8899

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Conjoined twinning is one of the most fascinating human malformations. The incidence of conjoined is 1:50,000 to 1:100,000 live births, with 40–60% being stillborn and about 35% of the live births not surviving beyond 24 hours. The exact incidence of conjoint twins in Nigeria is not known as there are instances of under-reporting, largely due to the relatively poor prognosis and stigmatisation associated with conjoined twinning.

We are reporting a case of thoraco-omphalophagus conjoint twins and a malformed third fetus diagnosed by ultrasound in the first trimester of pregnancy.

A set of female conjoined twins and a malformed triplet, delivered by 25-year old primigravida via emergency Caesarean Section on the 22nd May 2021 on account of PROM and fetal distress at 34/52 GA, that were admitted in our level one neonatal unit. The twins were joined at the thoraco-abdominal region. Echocardiography showed a moderate- sized Atrial Septal Defect in twin 1 and a large Ventricular Septal Defect in twin 2. MRI showed a thoraco-omphalophagus set of conjoined twins with fused xiphisternum, myocardium, pericardium, liver and small bowel.

Item Type: Article
Subjects: Euro Archives > Medical Science
Depositing User: Managing Editor
Date Deposited: 05 Jul 2023 05:15
Last Modified: 21 Aug 2023 09:05

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