Dicephalus parapagus conjoined twins discordant for anencephaly: a case report.
BACKGROUND
Cases of conjoined twins occur so rarely that it is important to learn as much as possible from each case.


METHODS
We present a case of 9-hour-old, female, Nigerian dicephalus parapagus conjoined twins discordant for anencephaly diagnosed only after the birth of the twins. The anencephalic twin was stillborn while the normal one died within 9 hours of birth from cardiopulmonary failure.


CONCLUSIONS
Many congenital defects of interest can now be detected before birth. A severe lesion such as that found in our index case, which is incompatible with postnatal life, requires counselling. If detected early enough during a properly monitored antenatal care, it may indicate termination of pregnancy.
Usang
Usang E
UE
University of Calabar/University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria. usangue@yahoo.co.uk.
Olasode
Babatunde J
BJ
Archibong
Ayi E
AE
Udo
Jacob J
JJ
Eduwem
Diana-Abasi U
DA