title: [Craniopagus conjoined twins: difficulties of management in Africa].
abstract: Conjoined twins are the rare malformations of monozygotic-twins pregnancies associated with bad fetal prognosis. Craniopagus are even more rarely encountered and their management is complex particularly in our low-medical-equipment countries. From an observation of craniopagus twins, we present several difficulties in the management of the case. Diagnosis was late; because of the onset of labour, delivery was not prepared; the conditions of neonatal and social management were not adapted. Surgical treatment was not considered owing to the absence of appropriate technological conditions and means.
authors.affiliation: Service de gynécologie-obstétrique, CHU de Yopougon, 21 BP 632, Abidjan 21, Côte d'Ivoire. konan_ble@yahoo.fr
authors.forename: R Konan
authors.initials: RK
authors.lastname: Blé
authors.forename: K
authors.initials: K
authors.lastname: Séni
authors.forename: S
authors.initials: S
authors.lastname: Adjoussou
authors.forename: G
authors.initials: G
authors.lastname: Quenum
authors.forename: E
authors.initials: E
authors.lastname: Akaffou
authors.forename: M
authors.initials: M
authors.lastname: Koné
mesh_terms: D000328:Adult; D000349:Africa; D001921:Brain / Q000601:surgery; D002585:Cesarean Section; D003906:Developing Countries; D017809:Fatal Outcome; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D009777:Occipital Bone / Q000002:abnormalities* / Q000601:surgery; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D012886:Skull / Q000002:abnormalities* / Q000601:surgery; D014427:Twins; D014428:Twins, Conjoined; D016216:Ultrasonography, Prenatal