Imperfect twinning: evaluation by imaging methods

Abstract

Conjoined twins are rare malformations and a challenge for both radiologists and pediatric surgeons. Antenatal evaluation is essential for the identification of anatomic fusions and other associated abnormalities, which will enable an adequate surgical planning and the assessment of fetal prognosis. The authors present the clinical and imaging findings of thoracopagus twins, joined by the anterior portion of the thorax, sharing the heart and the liver. Diagnosis was made by ultrasonography and confirmed with fetal magnetic resonance imaging.

Pregnancy twins; Conjoined twins; Imperfect twinning