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Title

CONJOINED TWIN, IMAGE IN REPRODUCTIVE MEDICINE

Pages

 Start Page 135 | End Page 136

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Abstract

 We present a conjoined twin (CT) case of pregnancy in a 31-year-old woman (gravida 2, para1) who came for her first routine ultrasound at 18 weeks of gestation. She conceived by spontaneous conception. The patient had a healthy child from a previous pregnancy. The initial ultrasound revealed two fetuses with a fused thorax and abdomen, two spines with an unusual extension, one beating heart, shared liver across the fetuses, four kidneys, two bladders, four normally formed arms and legs, and the pelvic were separate with two female external genitalia (Fig 1). The cord had multiple vessels and the abdomen of both fetuses was notable for moderate ascites. With a definite diagnosis of thoracoomphalopagus type of CT that is incompatible with life, the parents decided to terminate the pregnancy.

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