A CASE OF THORACOGASTROPAGUS DIAGNOSED BEFORE DELIVERY

The subject was a 29-year-old pregnant woman whose fetuses were a conj oined twin. We diagnosed the fetuses asa conjoined twin by ultrasonogr aphy at the 12th week of gestation. The patient and her family wanted living infants and hoped th;that they were separated surgically. We co nsulted with the doctors of pediatric surgery and cardiovascular surge ry departments. At the 18th week of gestation, the fetuses died in ute ro and they were delivered transvaginally by labor induction. Both inf ants were female with 430 g in total body weight and both of them were 21 cm in length. Pathological findings were thoracogastro-pagus with a single heart, a single pair of liver and a single small intestine.