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Fig. 1

Schematic diagram showing the various types of conjoined twins
Schematic diagram showing the various types of conjoined twins

Fig. 2

Postnatal images of the cephalopagus twins
Postnatal images of the cephalopagus twins

Fig. 3

Ultrasound images of a case of cephalopagus twins
Ultrasound images of a case of cephalopagus twins

Fig. 4

Postnatal image of the thoracopagus twins
Postnatal image of the thoracopagus twins

Fig. 5

Ultrasound (A, B) ) and coronal T2-weighted MR image (C)), showing a case of omphalopagus twins
Ultrasound (A, B) ) and coronal T2-weighted MR image (C)), showing a case of omphalopagus twins

Fig. 6

Postnatal images of the omphalopagus twins
Postnatal images of the omphalopagus twins

Fig. 7

3D color segmentation of CT data with the 3D printed model
3D color segmentation of CT data with the 3D printed model

Classification of conjoined twins

TypesDefinitions
ThoracopagusTwins joined face-to-face from the upper thorax to the upper part of the abdomen; the heart is always involved
OmphalopagusThe fusion includes the umbilicus region, frequently at the lower thorax, but never the heart
PyopagusTwins fused dorsally sharing the perineal and sacrococcygeal areas; only one anus but two rectums
IschiopagusThe union usually includes the lower abdomen and duplicated fused pelvic bones; external genitalia and anus are always involved
CraniopagusTwins joined by the skull, sharing the meninges but rarely the brain surface; the face and trunk are not involved
ParapagusTwins joined laterally, regularly share the pelvis. Varieties of parapagus conjoined twins are parapagus dithoracic (separated thoraces), parapagus dicephalus (one trunk two separate heads), and parapagus diprosopus (one trunk, one head, and two faces)
CephalopagusThere are two faces and twins are joined from the top of the head to the umbilicus
RachipagusTwins fused dorsally; the defect may involve the dorsolumbar vertebral column and rarely the cervical vertebrae and the occipital bone

Anomalies associated with conjoined twins

Thoracic anomaliesDextrocardia (in thoracopagus and dicephalic parapagus twins) Congenital diaphragmatic hernia Anomalous pulmonary venous drainage
Gastrointestinal anomaliesMeckel’s diverticulum Bowel atresiaAnomalous hepatic venous drainage
Genitourinary anomaliesDuplex system Renal dysplasia Pelviureteric junction obstruction Vesicoureteric junction obstruction
Musculoskeletal anomaliesCongenital dislocation of hip Clubfeet Vertical tali Scoliosis
eISSN:
2451-070X
Język:
Angielski
Częstotliwość wydawania:
4 razy w roku
Dziedziny czasopisma:
Medicine, Basic Medical Science, other