The Conjoined Twins of Warri, Nigeria

The Heteropagus Conjoined Twins of NDU Sule, Nigeria

“…That both infants were of the same sex is in conformity with observations in the vast majority of reported conjoined twins. 10 The high predominance of females is unexpected, since most separate n~onozy~otic identical twins are males. Either the female zygote is more likely to undergo conjoined twinning than the male or, once formed, male conjoined twins are much less viable and are aborted early before sex ascertainment is possible.'…”

The Ibadan conjoined twins: a report of omphalopagus twins and a review of cases reported in Nigeria over 60 years

“…However, the costeffectiveness of such a team must be viewed in the context of the meagre resources available in developing countries where there are greater and more pressing health problems. Though limited, there is some experience of managing conjoined twins in our centre, 8,9 and the decisions made in this case were in line with fairly standard management guidelines. 27,28 In retrospect, however, extubation of twin I post-operatively should perhaps have been delayed.…”

“…To the best of our knowledge, 12 cases have been reported from Nigeria during the last 60 years. [4][5][6][7][8][9][10][11][12][13][14] This probably does not re ect the true incidence in Nigeria as most cases are not reported on account of the associated stigma. Cases of conjoined twins seen in hospital are rare and pose a management challenge when they do present because of a lack of experience in managing them.…”

Multiple Pregnancies

“…The fi gures vary substantially among surveys (Tan et al 1971a ;Bankole et al 1972 ;Harper et al 1980 ;Castilla et al 1988 ) . They are reported to be much higher in the Japanese population (Miyabara et al 1973 ) .…”