Ultrasound assessment of conjoined twins at 13 weeks and 3 days gestational age: Case report and clinical implications

This case study outlines the imaging and management of conjoined twins at 13 weeks and 3 days of gestation. The twins, fused at the thorax and abdomen, were found to be sharing a single heart, liver, and bowel on early anatomy ultrasound. A fused heart may pose significant concerns in thoracopagus conjoined twins, complicating prognosis and treatment due to risks of congestive heart failure and challenges with surgical separation. Early and thorough ultrasound evaluation is crucial for diagnosing conjoined twins and guiding pregnancy management.