The earliest published diagnosis of conjoined twins via sonography was seven weeks' gestation (thoracopagus
MRI report showed thoracopagus
conjoined twins with single heart.
These included three cases of thoracopagus
and one xi- pho-omphalopagus.
conjoined twins with a fused heart always have complex abnormal cardiac anatomy (4-7).
: The most common type of conjoining, this occurs when the twins are attached at the chest.
Hamed Hindi al-Juburi, separated the thoracopagus
twins, one of them died during birth.
The more common types of conjoined twins include the thoracopagus
type where the fusion is anterior, at the chest, and involves the heart (35%); the omphalopagus type where the fusion is at the mid-trunk (30%); the pygopagus type where there is a posterior union involving the rump (19%); the parapagus type, with a lateral fusion of the lower half of the body extending upwards (5%); and combination types.
Sites of fusion include hips (iliopagus twins), chest (thoracopagus
twins), abdomen (omphalopagus twins) and head (cephalopagus twins).
Clan the first of February 2001, a set of thoracopagus
conjoined twins were born in a large Midwestern hospital and immediately transferred to the adjoining neonatal intensive care unit (NICU).
In the case of a Jewish couple who had thoracopagus
twins, rabbis were asked to help them resolve the question of killing one to save another.
Conjoined twins are classified according to the most prominent site of conjunction: thorax (thoracopagus
); abdomen (omphalopagus); sacrum (pygopagus); pelvis (ischiopagus); skull (cephalopagus), side by side (parapagus) and back (rachipagus).
Patients often exhibit congenital anomalies that include limb defects; reduction deformity of the arms and forearms; no digits or missing digits on the hands; reduction deformity of the legs; hind legs; no digits or missing digits on the feet; spinal dysraphism; congenital diaphragmatic hernia; lung hypoplasia or lung agenesis; thoracopagus
; micrognathia; microgastria; craniostenostosis; anal atresia or anal stenosis; hypoplasia; and, polysplenia.