Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get StartedDefinition
By Mayo Clinic staffIdentical (monozygotic) twins occur when a single fertilized egg splits and develops into two fetuses. In a few cases, the fertilized egg fails to separate completely. The babies that develop from this partial separation are called conjoined twins.
Unlike most identical twins, conjoined twins share the same amniotic fluid and placenta. They're also physically connected — most often at the head, chest or pelvis. Conjoined twins may even share one or more internal organs.
Many conjoined twins are stillborn or die shortly after birth. Some surviving conjoined twins can be surgically separated. The success of this surgery depends on where the twins are joined and how many organs are shared, as well as on the experience and skill of the surgical team.
Symptoms- From 'monsters' to modern medical miracles: Selected moments in the history of conjoined twins from medieval to modern times. United States National Library of Medicine. http://www.nlm.nih.gov/hmd/conjoined/embryology.html. Accessed Sept. 2, 2008.
- Roque H, et al. Monoamniotic twin pregnancy. http://www.uptodate.com/home/index.html. Accessed Sept. 2, 2008.
- Stone JL, et al. The craniopagus malformation: Classification and implications for surgical separation. Brain. 2006;129(5):1084-1095.
- Spitz L, et al. Success rate for surgery of conjoined twins. The Lancet. 2000;356:1765.
- Wilcox DT, et al. Urological problems in conjoined twins. British Journal of Urology. 1998;81:905-910.
- Carnevale FC, et al. Importance of angiographic study in preoperative planning of conjoined twins: Case report. Clinics. 2006;61(2): 167-170.
- Pajkrt E, et al. First-trimester diagnosis of conjoined twins. Prenatal Diagnosis. 2005;25(9):820-826.
- Kaufman M. The embryology of conjoined twins. Child's Nervous System. International Society for Pediatric Neurosurgery. 2004;20(8-9):508-525.
- Gilbert S. Types of conjoined twins. In: Gilbert S. Developmental Biology. 8th ed.
- Sunderland, Mass.: Sinauer Associates, Inc; 2006. http://8e.devbio.com/article.php?id=112&search=conjoined%20twins. Accessed Sept. 2, 2008.