Conjoined twins

Elena Andreeva, MD*, Natalia Odegova, MD*, Ludmila Juchenko, MD*, K.K. Otaryan, MD**

*  Moscow regions Research Institute of Obstetrics and Gynecology, Medical-Genetics Department, Moscow, Russia.
** Center of Immunology and reproduction, Moscow, Russia.

Case report

The following images show a case of the cephalothoracopagus conjoined twins diagnosed in our department during a first trimester scan at 13 weeks of gestation. The patient was a 24-year-old primigravida with non-contributive history who was referred to our center for a suspected pathology of the fetus.

Images 1,2: Axial view of the conjoined heads.

Cephalothoracopagys_1
Cephalothoracopagys_2


Images 3,4
: Image 3 shows a conjoined heads. Image 4 shows conjoined chests with two fetal hearts (H1, H2).

Cephalothoracopagys_3
Cephalothoracopagys_4a


Images 5,6: Image 5 shows a sagittal scan of the cephalothoracopagus. Image 6 shows a 3D-image of the conjoined twins, note joined heads and chests, you can see a common face.

Cephalothoracopagys_5
Cephalothoracopagys_6-copy


Images 7,8
: 3D-images of cephalothoracopagus.

Cephalothoracopagys_7
Cephalothoracopagys_6


Videos 1,2: Video 1 shows conjoined chests, note the fetal hearts. Video 2 shows 3D of the conjoined twins you can see chest and lower extremities.

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