Conjoined Twins at the Centre Hospitalier Universitaire Mère-Enfant, Fondation Jeanne Ebori (CHUMEFJE) in Libreville: Difficulties in the Management of 2 Cases

Conjoined twins (Siamese twins) are among the rare and complex complications of twin pregnancy, with a prevalence of 1 in 50,000 to 100,000 births. We report two cases of conjoined twins managed at the Mother-Child University Hospital Jeanne Ebori Foundation in Libreville. The first case involved craniopagus twins born prematurely by cesarean section at 30 weeks, both of whom experienced poor adaptation to extra-uterine life. The second case, omphalopagus twins, was a term vaginal delivery where one twin required resuscitation. Both cases highlight the importance of antenatal diagnosis for appropriate obstetric and postnatal management. This report highlights the challenges of managing such cases in resource-limited settings and the need for enhanced prenatal screening and multidisciplinary collaboration to improve outcomes.