A 25 years old female patient, primigravida at 15 weeks of gestations, had came for routine antenatal care at our outpatients clinic at Prince Rashid Bin Al-Hassan Military Hospital-Irbid-Jordan. She was seen first by a resident, history and examination was taken, besides routine antenatal investigations then she was referred to our fetal medicine clinic for anomaly scan. There is no family history of twins, and no history of exposure to any medication. At our clinic complete anomaly scan was done, the patients was found to have monozygotic twins of 15 weeks gestation and carrying a conjoint twin. Our ultrasound revealed fully developed heads facing each other, joint at the thorax and sharing a common abdomen. These twins share a single heart with two atrium and two ventricle. A large liver, two stomach, two kidneys and bowel loops were shared by the twin. Also two upper and lower limbs were seen for each fetuses. Both spines were well developed and normal. No other abnormality was seen for two fetuses (). So ultrasound diagnosis of conjoined twins of thoracopagus type was made. The couple was informed about our ultrasound findings and counseled on the various management options. Then the patient went to be seen by another fetomaternal person and they confirmed our diagnosis. They decide for termination of pregnancy after taken the opinion of religious people. Termination of pregnancy was performed by many methods and we chose to use cytotec tablets which inserted vaginally, and the outcome was conjoint twin with two bodies fused from the upper thorax to lower belly (). Both fetuses are female and died immediately after termination of pregnancy. Diagnosis of conjoined twins was made at 15 weeks, but the decision for termination of pregnancy by parents was taken after 2 weeks, actually at 18 weeks after they taken the opinion of religious people.