Autopsy Findings on a Pair of Dicephalic Parapagus Twins: A Case Report

Owiti W1, Peter Kitunguu 2, Kiilu C1, Langat R1, Odhiambo G1

1. Narok District Hospital

2. Division of Neurosurgery, University of Nairobi

Correspondence to: Dr William Owiti, P.O Box 2891-40100 Kisumu. Email:


Conjoined twins are a rare occurrence that presents significant challenges to both parents and medical care givers with many theories being advanced to explain this occurrence.“Parapagus” is a fairly recent term, in which the twins lie side by side with ventro-lateral fusion and are extremely rare representing 0.5% of all reported cases. We present a case report on post mortem findings on a set of parapagus twins delivered through caesarian section at Narok district hospital. We illustrate the various anomalies of the thoracic, abdominal cavity and central nervous system and discuss the embryologic etiologic theories.


Key Words: Conjoined, Dicephalic, Malformations, Autopsy


The Annals of African Surgery is the official publication of the Surgical Society of Kenya.


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ISSN (print): 1999-9674; ISSN (online): 2523-0816

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