Ischiopagus Conjoint Twins: A Case Report

The twins delivered by 34 years old gravida 9 para 7, no previous congenital anomalies, the mother was diabetic and she was on anti-diabetic drugs. Both parents had no family history of birth defects or exposure to known teratogens. Imaging (MRI) revealed that that the twins had separate hearts, lungs, kidneys with severe hydronephrosis in one of them, stomach, liver, spleen, and anal canals but shared the bowel loops, a single placenta with one umbilical vein and two umbilical arteries with single umbilical cord. Additionally, they have uterus-like structure with the absence of external genitalia. Despite multiple associated cardiovascular anomalies, there were no external craniofacial, limb, or brain abnormalities. The twins admitted for the neonatal ICU and observed with normal meconium and urinary passage from same opening (cloaca).