# Thoraco-Omphalopagus Conjoined Twins: A Rare Presentation in the Dominican Republic

## TL;DR

A rare case of thoraco-omphalopagus conjoined twins is reported in the Dominican Republic, highlighting diagnostic and management challenges.

## Contribution

Adds to the limited literature on conjoined twins in the Dominican Republic and emphasizes the need for specialized care.

## Key findings

- The twins share vital organs and have congenital anomalies.
- Medical history and treatment for syphilis complicated the case.
- The case underscores the need for research and intervention in rare congenital conditions.

## Abstract

The case involves a 23-year-old Dominican woman's admission to Hospital Docente Nuestra Señora De la Altagracia for an elective cesarean section at 38 weeks gestation with conjoined twins. Despite effective treatment for syphilis in the third trimester, her medical history complicated the situation. The twins, thoraco-omphalopagus conjoined, share vital organs and exhibit congenital anomalies, posing unique diagnostic and management challenges. This case contributes to the scarce literature on conjoined twins, especially in the Dominican Republic. It highlights the complexities of diagnosis, prognosis, and management strategies for such rare cases. This emphasizes the importance of ongoing research and medical intervention in addressing these challenges.