Objective:

Dicephalic parapagus is a rare anomaly of conjoined twins with severe morbidity and mortality. Early prenatal diagnosis is crucial for the follow-up of the pregnancy. In this article, prenatal diagnosis of parapagus twins with ultrasonography in the first trimester is presented.

Case report:

Twenty-four-year-old pregnant woman with gravidity 2 whose personal and familial background was uneventful was diagnosed with parapagus dicephalus conjoined twins in the 12th week of gestation by ultrasonographic examination. Fetus with 2 heads with seperate necks, 2 arms, 3 legs, and fused vertebral column was observed by ultrasonographic examination.

Conclusion:

Early diagnosis of parapagus dicephalus conjoined twins seems to be very important for the management and termination of pregnancy when required.

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