CONJOINED TWINS PRESENTING AS HAND PROLAPSE IN A RURAL HOSPITAL: A CASE REPORT

  • Usman JD Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria.
  • Zagga AD Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria.
  • Bello A Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria.
  • Faruku M Department of O&G, General Hospital Tambuwal, Sokoto, Nigeria.
  • Musa MA Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria.
Keywords: pregnancy, conjoined twins, obstetric challenge

Abstract

Conjoined twin pregnancies are so rare and maybe ones in a lifetime experience. Therefore there is so much to learn from each case. We present a case of male thoraco-omphalopagus conjoins twin, Nigerian that presented as a case of hand prolapsed diagnosed only after cesarean section. Both twins were stillborn. Conjoined twin pregnancy is a rare occurrence and may poise some obstetric challenges. Since many congenital defects can now be detected before birth, this place high importance in antenatal care and prenatal diagnosis as to determine the mode of delivery and early termination of pregnancy when the anomaly is not compatible with life.

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References

1. Evans MI, Goldberg JD, Dommergues M, Wapner RJ, Lynch L, Dock BS, Horenstein J, Golbus MS, Rodeck CH, Dumez Y, Holzgreve W, Timor-Tritsh Ijohnson MP, Isada NB, Monteagudo A, Berkowitz L: Efficacy of second-trimester selective termination for fetal abnormalities: international collaborative experience among the World's largest centers. Am J Obstet Gynecol 1994, 171:90-94.
2. Spencer R: Theoretical and analytical embryology of conjoined twins, part 1: embryogenesis. Clin Anat 2000, 13(1):36-53
3. Gore RM, Filly RA, Parer JT. Sonographic antepartum diagnosis of conjoined twins. Its impact on obstetric management. JAMA. 1982; 247 (24): 3351-3.
4. Preziosi P, Medici D, Maiorana A. Sonographic findings in cephalothoracopagus-conjoined twins. Pediatr Radiol. 1984; 14 (6): 453-4.
5. Destephano CC, Meena M, Brown DL et-al. Sonographic diagnosis of conjoined diamniotic monochorionic twins. Am. J. Obstet. Gynecol. 2010; 203 (6): e4-6.
6. Golladay ES, Williams GD, Seibert JJ, Dungan WT, Shenefelt R: Dicephalus dipus conjoined twins: A surgical separation and review of previously reported cases. Trop J Obstet Gynaecol 2005, 22:87-88. Clin Anat 2000, 13(1):36-5.
7. Omokhodion SI, Ladipo JK, Odebode TO, Ajao OG, Famewo CE, Lagundoye SB, Sanusi A, Gbadegesin RA: The Ibadan conjoined twins: a report of omphalopagus twins and a review of cases reported in Nigeria over 60 years.
8. Usang E Usang, Babatunde J Olasode, Ayi E Archibong, Jacob J Udo and Diana-Abasi U Eduwem: Dicephalus parapagus conjoined twins discordant for anencephaly: a case report. Journal of Medical Case Report, 2010; 4.
9. Owolobi AT, Oseni SB, Sowande OA, Adejuyigbe O, Komolafe EO, Adetiloye VA, Komolafe A: Dicephalus dibrachius dipus conjoined twins in a triplet pregnancy. J Pediatr Surg 1982, 17(3):259-263
10. Shah DS, Tomar GP, Prajapati H: Conjoined twins - Report of two cases. Indian J Radiol Imaging 2006, 16:199-201.
11. Spencer R: Theoretical and analytical embryology of conjoined twins, part 1: embryogenesis.
12. Miller D, Colobani P, Buck JR, Dudgeon DL, Haller JA. New techniques in the diagnosis and operative management of Siamese twins. J Pediatr Surg 1983; 18: 373-6.
13. Spitz L: Conjoined twins. Br J Surg 1996, 83:1028-1030.
14. Tandon R, Sterns LP, Edward JE. Thoracopagus twins. Arch Pathol 1974; 98:248-51.
How to Cite
1.
JD U, AD Z, A B, M F, MA M. CONJOINED TWINS PRESENTING AS HAND PROLAPSE IN A RURAL HOSPITAL: A CASE REPORT. Med. res. chronicles [Internet]. 2015Nov.5 [cited 2024Dec.22];2(6):697-00. Available from: https://medrech.com/index.php/medrech/article/view/136
Section
Case Report