Ultrasonographic examination at 16 weeks 5 days' gestation diagnosed a mono
amniotic triplet gestation complicated by thoracopagus conjoined twins. Aft
er pregnancy termination, the ultrasonographic diagnoses were confirmed by
pathologic examination. In reporting the first ultrasonographically diagnos
ed monamniotic triplets with conjoined twins, we demonstrate that a systema
tic evaluation by twin-derived ultrasonographic techniques may permit corre
ct diagnosis of unusual triplet pregnancies.