title: Early prenatal diagnosis of thoracopagus twins by ultrasound.
abstract: BACKGROUND
  Conjoined twins are identical twins joined in utero. It's a rare phenomenon and present a unique challenge to obstetricians and pediatric surgeons. Conjoined twins are complex complication of monozygotic twinning, which is associated with high perinatal mortality.
  
  
  METHODS
  At our clinic complete anomaly scan was done, the patients was found to have monozygotic twins of 15 weeks gestation and carrying a conjoint twin. Our ultrasound revealed fully developed heads facing each other, joint at the thorax and sharing a common abdomen. These twins share a single heart with two atrium and two ventricle. They decide for termination of pregnancy after taken the opinion of religious people. Termination of pregnancy was performed by many methods and we chose to use cytotec tablets which inserted vaginally and the outcome was conjoint twin with two bodies fused from the upper thorax to lower belly. Both fetuses are female and died immediately after termination of pregnancy.
authors: Department of Obstetrics and Gynecology, Feto-Maternal unit. Royal Medical Services, Irbid, Jordan.
authors: Mahmoud
authors: M
authors: Alkhateeb
authors: Department of Obstetrics and Gynecology, Feto-Maternal unit. Royal Medical Services, Irbid, Jordan.
authors: Mahmoud
authors: M
authors: Mashaqbeh
authors: Department of Pediatrics. Royal Medical Services, Irbid, Jordan.
authors: Sami
authors: S
authors: Magableh
authors: Department of Radiology. Royal Medical Services, Irbid, Jordan.
authors: Rafiq
authors: R
authors: Hadad
authors: Department of Medicine. Royal Medical Services, Irbid, Jordan.
authors: Quteiba
authors: Q
authors: Nseer
authors: Department of Pharmacy. Royal Medical Services, Irbid, Jordan.
authors: Abdelkhaleg
authors: A
authors: Alshboul
keywords: conjoined twins; termination of pregnancy; ultrasound