Dicephalous Dibrachius Dipus Conjoined Twins- A Rare Case
Siamese twins or double monsters have always been a subject of curiosity and mystery for the general public. The conjoined twin is one of the rare phenomena seen in 1% of monochorionic monoamniotic pregnancy and is associated with high perinatal mortality. Patients with 30 years G2P1L1 with 35 weeks of gestation with previous LSCS with spontaneous conception came with complaints of preterm premature rupture of membranes since 8 hours, referred for fetal MRI admitted in GMCH Nagpur, booked at PHC Mangaon at 4th month of gestation.

Registered at Sewagram Wardha at 6th month of gestation, diagnosed at 35 weeks of gestation as conjoined twin. No h/o twinning in family. Ultrasonography report done at GMCH Nagpur suggestive of live intrauterine fetus of mean gestation age 33 weeks 1 day with 2 heads (BPD1 corresponds to 32 weeks and BPD2 corresponds to 34 weeks 2 days) and single body, 2 separate vertebral columns, abdomen and thorax are fused.

Emergency LSCS was done, dicephalous dibrachius dipus conjoint twin male baby weighing 2.6 kg delivered, cried weakly at birth, APGAR-6, shifted to NICU. Babies died on day 3 of life, cause of death-day 3 male preterm with respiratory distress with respiratory failure with cardiorespiratory arrest.

Source: https://www.ijrcog.org/index.php/ijrcog/article/view/6910
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