[Craniopagus conjoined twins: difficulties of management in Africa].
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.
Blé
R Konan
RK
Service de gynécologie-obstétrique, CHU de Yopougon, 21 BP 632, Abidjan 21, Côte d'Ivoire. konan_ble@yahoo.fr
Séni
K
K
Adjoussou
S
S
Quenum
G
G
Akaffou
E
E
Koné
M
M
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