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Case Reports
. 2022 Mar-Apr;27(2):255-257.
doi: 10.4103/jiaps.JIAPS_357_20. Epub 2022 Mar 1.

Minimally Jointed Symmetrical Pygopagus Twins - Successful Surgical Separation

Simmi K Ratan  1 , Chiranjiv Kumar  1 , Radhika Batra  2 , Anju Bhalotra  3
Affiliations
Case Reports

Minimally Jointed Symmetrical Pygopagus Twins - Successful Surgical Separation

Simmi K Ratan et al. J Indian Assoc Pediatr Surg. 2022 Mar-Apr.

Abstract

Conjoined pygopagus accounts for about 17% of all conjoined twins and commonly share the gluteal region, terminal spine, lower gastrointestinal, urological, and reproductive tracts. This makes their separation a very challenging task. We report herein pygopagus twins who had minimal fusion in coccygeal region and could be separated without a complicated procedure. The case is being reported to add to the literature and emphasize that simple fusion in conjoined twins can be relatively easy to manage.

Keywords: Coccygeal; conjoined twins; fusion; pygopagus.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Plain radiograph showing fusion of soft tissues overlying the coccygeal region
Figure 2
Figure 2
Clinical photograph showing pygopagus twins joined back to back facing away from each other with attachments at the sacrum, buttocks, and perineum with two separate anuses and vaginal openings. Note also the wide area of attachment
Figure 3
Figure 3
T2W sagittal (a), T2W axial (b) and T1W axial (c) Magnetic resonance images reveal fusion in the region of the coccyx of both twins with shared dura in this location
Figure 4
Figure 4
Intraoperative photo showing fused coccyx bone and neural tissue in pygopagus twins which are being separated
See this image and copyright information in PMC

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