The role of radiology in the management of omphalopagus: Our experience at university of Abuja teaching hospital

Conjoined twins result from incomplete division of embryonic cell mass in monozygotic, monochorionic, and monoamniotic twins occurring at very early stage of development. We present a set of male conjoined twins referred from a peripheral hospital to our health facility 18 h after cesarean birth on account of abnormal body fusion at the abdominal regions. Both babies passed meconium within 6 h of birth and were clinically stable. Radiological evaluation of the babies using ultrasound, echocardiography, and computed tomography showed hepatic fusion but their respective bowels and remaining viscera were separate and distinct for each of the twins. They were managed at the special baby care unit for 4 months to enable them achieve appreciable weight and clinical stability before having a successful surgical separation. They were discharged home following a good clinical outcome on the 23rd day of surgery as two separate babies.