Authors: Touré MA, Keita B, Touré BM, Fofana N, Dioubaté IK, Touré TM A.
Introduction: The birth of conjoined twins is an event extremely rare which offers unique therapeutic challenges and circumstances. Each situation must be examined with the many questions that arise and which sometimes require a long reflection. We report a case of separation of pygopage twins as well as a review of the literature.
Patients and Observation: A pair of conjoined twins of 11 days of life, weighing 3080g between them, was referred to the neonatal service from the Faranah prefecture, 300 km from Conakry, for treatment. The mother, a 30-yearold housewife, multiparous, eight gestures and nine parities, had not followed any prenatal consultation. The birth took place at home in a village with the death of the mother in the immediate postpartum period. The clinical and para-clinical investigation had concluded with the diagnosis of Siamese pygopage type. After a multidisciplinary consultation, the surgical treatment by separation of the twins was carried out at the age of 50 days with success and conservation of physiological functions.
Conclusion: The birth of conjoined twins is extremely rare. Each pair of Siamese is different and the surgical strategy must be adapted according to the shared organs. The perfect multidisciplinary work of the nursing staff has been the main contribution to our success.
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