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


All content copyright © 2020 Annals of African Surgery.

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

Main Office Location: Menelik Medical Centre, Menelik Road, off Ngong Road, Nairobi. First floor.

Telephone: +254715260499



The content on this site is intended for health professionals. Advertisements on this site do not constitute a guarantee or endorsement by the journal, Association, or publisher of the quality or value of such product or of the claims made for it by its manufacturer.

Parasitic Rachipagus Conjoined Twins: Surgical Management and Follow-up of a Case in Kenya

Oduor PR1, Nyamai K2

  1. Department of Surgery, Faculty of Health Sciences, Egerton University

  2. Provincial General Hospital Nakuru

Correspondence to: Dr Peter Oduor P.O Box 12168-20100 Nakuru, Email:


We present the case, surgical management and follow-up, of a parasitic rachipagus conjoined twin born to a 23 year old lady. The parasitic twin had hypoplastic upper and lower limbs attached to the dorsal thoracic and lumbar region respectively with poorly developed external genitalia. At surgery, a neurovascular bundle was found attached to the parasite upper limb. The parasite was successfully excised. Subsequent follow up of the child has revealed a boy who despite the weakness of his left lower limb is able to participate in all activities of boys his age. Rachipagus conjoined twins are uncommon and literature only indicates a single report of two cases in Africa. Our case report adds to the number of cases of this condition that have been reported in Africa.

Key Words: Parasitic rachipagus, Conjoined twins

  • Twitter
  • Facebook Social Icon
  • LinkedIn