A rare case of dicephalic parapagus conjoined twins diagnosed in the third trimester

Dicephalic parapagus conjoined twins, a rarely occurring form of conjoined twinning has poor prognosis and remains a significant cause of perinatal deaths. Since majority of cases of conjoined twins are not compatible with life, early and reliable detection with diagnostic medical imaging remains cr...

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Main Authors: Joseph Arkorful, Emmanuel Fredua Agyeman, Richmond Ashitey Nmai, Albert Dayor Piersson
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324012329
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author Joseph Arkorful
Emmanuel Fredua Agyeman
Richmond Ashitey Nmai
Albert Dayor Piersson
author_facet Joseph Arkorful
Emmanuel Fredua Agyeman
Richmond Ashitey Nmai
Albert Dayor Piersson
author_sort Joseph Arkorful
collection DOAJ
description Dicephalic parapagus conjoined twins, a rarely occurring form of conjoined twinning has poor prognosis and remains a significant cause of perinatal deaths. Since majority of cases of conjoined twins are not compatible with life, early and reliable detection with diagnostic medical imaging remains crucial for adequate patient counselling, medical and surgical management. We present a case of dicephalic parapagus twin gestation with associated congenital anomalies detected for the first time with ultrasound in the third trimester in a 29-year-old pregnant woman. An initial first trimester ultrasound at 14 weeks gestational age was unremarkable.Ultrasound fetal anatomical survey in the third trimester remains reliable for the detection of rare fetal anomalies such as dicephalic parapagus twins that might have been missed in earlier scans. Continuous efforts should therefore be made for the inclusion of detailed anatomical survey in the early third trimester; particularly in women with unremarkable earlier ultrasound scans and in those reporting late for obstetric care.
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series Radiology Case Reports
spelling doaj-art-49f0952ac01c4469bb59b037a0a1c9732024-11-16T05:11:00ZengElsevierRadiology Case Reports1930-04332025-01-01201846850A rare case of dicephalic parapagus conjoined twins diagnosed in the third trimesterJoseph Arkorful0Emmanuel Fredua Agyeman1Richmond Ashitey Nmai2Albert Dayor Piersson3University of Cape Coast, College of Health and Allied Sciences, Department of Imaging Technology & Sonography, Cape Coast, Ghana; Corresponding author.Department of Medical Imaging, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Medical Imaging, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaUniversity of Cape Coast, College of Health and Allied Sciences, Department of Imaging Technology & Sonography, Cape Coast, GhanaDicephalic parapagus conjoined twins, a rarely occurring form of conjoined twinning has poor prognosis and remains a significant cause of perinatal deaths. Since majority of cases of conjoined twins are not compatible with life, early and reliable detection with diagnostic medical imaging remains crucial for adequate patient counselling, medical and surgical management. We present a case of dicephalic parapagus twin gestation with associated congenital anomalies detected for the first time with ultrasound in the third trimester in a 29-year-old pregnant woman. An initial first trimester ultrasound at 14 weeks gestational age was unremarkable.Ultrasound fetal anatomical survey in the third trimester remains reliable for the detection of rare fetal anomalies such as dicephalic parapagus twins that might have been missed in earlier scans. Continuous efforts should therefore be made for the inclusion of detailed anatomical survey in the early third trimester; particularly in women with unremarkable earlier ultrasound scans and in those reporting late for obstetric care.http://www.sciencedirect.com/science/article/pii/S1930043324012329Conjoined twinsUltrasoundAnomaly scanThird trimesterCase report
spellingShingle Joseph Arkorful
Emmanuel Fredua Agyeman
Richmond Ashitey Nmai
Albert Dayor Piersson
A rare case of dicephalic parapagus conjoined twins diagnosed in the third trimester
Radiology Case Reports
Conjoined twins
Ultrasound
Anomaly scan
Third trimester
Case report
title A rare case of dicephalic parapagus conjoined twins diagnosed in the third trimester
title_full A rare case of dicephalic parapagus conjoined twins diagnosed in the third trimester
title_fullStr A rare case of dicephalic parapagus conjoined twins diagnosed in the third trimester
title_full_unstemmed A rare case of dicephalic parapagus conjoined twins diagnosed in the third trimester
title_short A rare case of dicephalic parapagus conjoined twins diagnosed in the third trimester
title_sort rare case of dicephalic parapagus conjoined twins diagnosed in the third trimester
topic Conjoined twins
Ultrasound
Anomaly scan
Third trimester
Case report
url http://www.sciencedirect.com/science/article/pii/S1930043324012329
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