Triplet with Dicephalus Twins: A Case Report

Nigeria is known to have the highest twining rate in the world. In this report, we present a case of a woman MS, 32 years old, Gravida4, Para3 (3alive), who had caesarian section for conjoined twin (thoracopagus) and malformed triplet on 26/3/2015 at 21 weeks of gestation. There was no history of usage of teratogenic drugs and all previous deliveries were spontaneous vaginally. The ultrasound done on 24th March 2015 showed a viable conjoined twins, with thoraces fused together but with separate active heart actions. The limbs appeared to be just a pair, like in normal singleton and a non-viable mummifi ed triplet. Placenta was anterior, polyhydramnios BPD 55mm composite to gestational age as of 21 week and 6days and Estimated date of delivery (EDD) of 22/07/15. The live babies conjoined twins died 3 minutes post-delivery caesarian section. The post-operative phase was without complications and the mother was discharged home on the 30/03/15 and did not show up for post natal care.