PYOPAGUS CONJOINED TWINS WITH VENTRAL ABDOMINAL WALL DEFECT

Jessy J P; Rani N; Kaur A; Kapoor K; Dhavan V; Kaur A; Sharma M

Volume : IX, Issue : VI, June - 2020

PYOPAGUS CONJOINED TWINS WITH VENTRAL ABDOMINAL WALL DEFECT

Jessy J P, Rani N, Kaur A, Kapoor K, Dhavan V, Kaur A, Sharma M

Abstract :

Pyopagus conjoint twin represent a rare developmental defect with shared gluteal region and with fusion of sacrum facing away from each other. Pyopagus twins have an incidence of 6% among conjoined twins. We report a case of pyopagus conjoint twin with the site of fusion being the sacrococcygeal region. One of the twin was normal in appearance while the second twin had absent ventral abdominal wall below the umbilicus. Prenatal scanning makes an early diagnosis of the type of conjoint twin and determine the outcome of pregnancy. The surgical intervention can be determined according to the site of fusion and the organs shared. Pyopagus twin management involves separation and reconstruction of gastrointestinal, genitourinary and the reproductive tracts and the outcome of survival depends on the organs shared.