Cephalothoracopagus Janiceps Conjoined Twins-A Rare Case

Conjoined twin is an unusual congenital anomaly having severe mortality and morbidity. We are reporting a rare case of conjoined cephalothoracopagus janiceps twins diagnosed by ultrasonography at 30 weeks when they presented to our department for the first time. Two live male conjoint babies were delivered by caesarean section. They died in half an hour after birth. Mother was discharged from hospital at 7th post natal day. This case is extremely rare because of following features: (a) presence of separate hearts (b) male sex (c) bony fusion at the level of the base of skull. Literature suggests that early diagnosis by a combination of ultrasound is essential for management. It gives an opportunity for viability and process of surgical separation. With this early counseling of parents and termination can be done if indicated.