Radiology assessment of omphalopagus conjoined twins: A case report()

Conjoined twins are rare and present a challenge for surgeons and radiologists and classified according to the main site of connection: thorax (thoracopagus), abdomen (omphalopagus), etc. Here, we report a Seventeen-month-old, female omphalopagus conjoined twins, born from a mother with a family history of twins, who performed CT-scan and ultrasound echocardiography for elective surgery preparation and X-ray evaluation after the separation surgery. From the CT-Scan examination, revealed each baby had its own, separate heart (one with dextrocardia), each baby had its own liver but they were partially fused and several small branches crossed each other (superior mesenteric artery, intercostal artery, and hepatic vasculature). Findings at surgery are consistent with radiological findings, but we missed to evaluate the pericardium despite being informed by the CT-scan that each baby had its own heart. Radiological investigation plays an important role in the evaluation, all possibilities must be taken into account: operation feasibility, shared organs, soft tissue, and bone structure.