Blé R Konan, Séni K, Adjoussou S, Quenum G, Akaffou E, Koné M
Service de gynécologie-obstétrique, CHU de Yopougon, 21 BP 632, Abidjan 21, Côte d'Ivoire.
Gynecol Obstet Fertil. 2008 Jan;36(1):56-9. doi: 10.1016/j.gyobfe.2007.08.027. Epub 2008 Jan 4.
Conjoined twins are the rare malformations of monozygotic-twins pregnancies associated with bad fetal prognosis. Craniopagus are even more rarely encountered and their management is complex particularly in our low-medical-equipment countries. From an observation of craniopagus twins, we present several difficulties in the management of the case. Diagnosis was late; because of the onset of labour, delivery was not prepared; the conditions of neonatal and social management were not adapted. Surgical treatment was not considered owing to the absence of appropriate technological conditions and means.
联体双胎是单卵双胎妊娠中罕见的畸形，与不良的胎儿预后相关。颅骨联体更为罕见，其处理复杂，尤其是在我们医疗设备简陋的国家。通过对一例颅骨联体双胎的观察，我们呈现了该病例处理中的几个困难。诊断较晚；由于临产发作，未做好分娩准备；新生儿及社会管理条件不适应。由于缺乏合适的技术条件和手段，未考虑手术治疗。
