Case Report

Early prenatal diagnosis of ischiopagus conjoined twins


  • Ahmet Mete Ergenoğlu
  • Nuri Yıldırım
  • Ahmet Özgür Yeniel
  • Ali Akdemir
  • Alkım Gülşah Şahingöz Yıldırım
  • Nedim Karadadaş

Turk J Obstet Gynecol 2014;11(1):68-70


Conjoined twins are very rare and the incidence of them vary about 1/50,000 and 1/100,000. They are named according to the joint parts. Embryos are conjoined at the level of ischium in ischiopagus. A case of ischiopagus will be presented in this article.


A twenty-seven year old women who is 9-10 weeks pregnant with a history of 1 abortus applied to the Ege University Department of Obstetrics and Gynecology for routine follow-up. Ultrasonography revealed a twin pregnancy but the embryos were attached at the pelvic region. 3D Doppler sonography confirmed the diagnosis of ischiopagus tetrapus. The patient's decision of termination of pregnancy is concluded at Perinatology Council of the clinic.


Ischiopagus conjoined twins are very rare. Early prenatal diagnosis will prevent the maternal complications during the termination of the pregnancy.

Keywords: ischiopagus, prenatal diagnosis, conjoined twins