Challenges In The Management Of Conjoined Twins In A Poor Re
Conjoined twins (CT) also known as Siamese twins or double watches are a rare and specific congenital malformation of mono chorionic and mono amnion twin pregnancies. They occur in 1 in 50,000 to 200,000 births [1]. They constitute a real diagnostic and therapeutic challenge. If in developed countries the multidisciplinary approach together with the creation of reference centres and the proven experience of surgical teams have significantly improved prognosis [2,3], this is not the case in developing countries where their prognosis is poor due to late diagnosis and the under-equipment of surgery and neonatal resuscitation units [4,5,6].
Located in the Sub-Sahara Africa, Burkina Faso is a developing country where the prenatal diagnosis of congenital malformations and paediatric surgery are poorly developed. The purpose of this study is to highlight the peculiarities of the management of conjoined twins in such context of poor resource setting.

The newborns were received after the second hour of birth at the Charles De Gaulle Paediatric Teaching Hospital in Ouagadougou for thoraco-abdominal joining. They were male. The history of the family revealed a case of an early abortion of the mother while the father had twins in his family. The mother, 24 years old, was a nullipara. The father was 27 years old. There was no consanguinity. Prenatal diagnosis was made at week 27 of the pregnancy. They were delivery by surgery after 36 weeks of gestation. Apgar score was normal at the first minute. The combined weight of the conjoined twins was 4,200 grams....