title: Prenatal diagnosis of conjoined twins: four cases in a prenatal center.
abstract: OBJECTIVE
  To assess the findings in conjoined twins diagnosed prenatally.
  
  
  METHODS
  Between January 2002 and June 2009, we reviewed the database and medical records of 857 twin pregnancies, including 140 monochorionic twins. Nineteen monochorionic-monoamniotic twin pregnancies were detected, four of which were complicated by conjoined twins.
  
  
  RESULTS
  Of these 4 cases, 2 were complicated by thoracopagus and one had thoraco-omphalopagus; these three cases underwent termination at 16, 11, and 19 weeks gestation, respectively. The last case was diagnosed as a pygopagus tetrapus parasitic twin at 28 weeks gestation. The family decided to continue the pregnancy, and achieved a successful outcome with elective surgery postpartum.
  
  
  CONCLUSIONS
  Conjoined twins are an uncommon and complex complication of monozygotic gestations, which is associated with high perinatal mortality. The early prenatal diagnosis of conjoined twins allows improved counseling about the management options, including maintenance of pregnancy with surgery after delivery or termination of pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, Perinatology Unit, Istanbul Bakırköy Maternity and Children Diseases Hospital, Istanbul, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Gedikbaşı
authors.affiliation: Department of Obstetrics and Gynecology, Perinatology Unit, Istanbul Bakırköy Maternity and Children Diseases Hospital, Istanbul, Turkey.
authors.forename: Gökhan
authors.initials: G
authors.lastname: Yıldırım
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Bakırköy Maternity and Children Diseases Hospital, Istanbul, Turkey.
authors.forename: Sezin
authors.initials: S
authors.lastname: Saygılı
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Bakırköy Maternity and Children Diseases Hospital, Istanbul, Turkey.
authors.forename: Reshad
authors.initials: R
authors.lastname: Ismayilzade
authors.affiliation: Department of Obstetrics and Gynecology, Perinatology Unit, Istanbul Bakırköy Maternity and Children Diseases Hospital, Istanbul, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Gül
authors.affiliation: Department of Obstetrics and Gynecology, Perinatology Unit, Istanbul Bakırköy Maternity and Children Diseases Hospital, Istanbul, Turkey.
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Ceylan
keywords: Conjoined twins; prenatal diagnosis