# Parapagus Conjoined Twin : A Case Report

## TL;DR

This case report describes a rare instance of dicephalus parapagus conjoined twins diagnosed during pregnancy and managed through medical termination.

## Contribution

The novelty lies in documenting a rare case of conjoined twins to aid in future clinical decision-making and counseling.

## Key findings

- A 23-year-old woman was found to be carrying a dicephalus parapagus conjoined twin during a routine anomaly scan.
- Medical termination was performed, resulting in the delivery of a conjoined female fetus weighing 1800 grams.
- The case highlights the challenges in diagnosing and managing such rare pregnancies.

## Abstract

This case was brought to our antenatal outpatient department at Bheri Hospital as a referral case from another center. She is a 23-year-old G3P1 at 20w2d gestation with one prior abortion. In her two Ultrasonographies done in a local clinic, no anomaly was detected, and she was referred for a routine anomaly scan through which conjoint parapagus twin was made. The treatment plan and outcome were discussed with the patient for a conjoined twin dicephalic parapagus type. Medical termination of pregnancy was performed, and she delivered a conjoined female of birth weight 1800 grams. This case illustrates the diagnostic and management challenges of dicephalus parapagus conjoined twins. Reporting such rare cases helps guide counseling, imaging, and individualized management in similar situations.