The Twin Trouble and A Shared Conundrum- A Case Report on Urinary Malformation in Siamese Twins

Abstract Aim: To demonstrate how timely antenatal registration and regular follow up helps in better maternal and fetal care and outcomes. Background: Conjoined twin gestation, an extremely rare entity, carries a high obstetric risk. Early detection and timely management are imminent to reduce maternal and fetal morbidity and mortality. Case description: Here, we discuss a 30 year old, Gravida 2 Parity 1 Living 1, at 21 weeks of gestation, referred to us with an abnormal malformation scan, only to reveal a conjoined twin gestation post medical termination of pregnancy. Conclusion: Early detection of non viable anomalies and its timely management lead to better maternal outcomes and prevents poor progeny. Clinical significance: Emphasis on early antenatal registration and regular follow up even in seemingly low risk pregnancies.