case_images: PMC9252611_01
case_images: The conjoined twins upon initial assessment following birth. Note: the conjoined segment with a dusky segment of small bowel.
case_images: 10-1055-s-0042-1750134-i210639cr-1.jpg
case_images: PMC9252611_01_10-1055-s-0042-1750134-i210639cr-1.jpg
case_images: FI210639cr-1
case_images: Both babies had imperforate anus, exstrophy, and weighed 800 g each ( Fig. 1 ). Intraoperative examination of the conjoined parts showed segments of dusky small bowel and the umbilical cords, serving as points of attachment between the babies ( Fig. 1 ).
case_images: An intraoperative image demonstrating the small bowel of baby 1 ending distally in the anti-mesenteric boarder of the terminal ileum in Baby 2.
case_images: 10-1055-s-0042-1750134-i210639cr-2.jpg
case_images: PMC9252611_01_10-1055-s-0042-1750134-i210639cr-2.jpg
case_images: FI210639cr-2
case_images:  The small bowel ended distally in the antimesenteric border of the terminal ileum in baby 2 ( Fig. 2 ).
case_images: An immediate post-operative image of both babies. Note the end ileostomy in baby 1 and an end colostomy with a mucous fistula in baby 2. A vesicostomy was created in both babies.
case_images: 10-1055-s-0042-1750134-i210639cr-3.jpg
case_images: PMC9252611_01_10-1055-s-0042-1750134-i210639cr-3.jpg
case_images: FI210639cr-3
case_images: In both babies the conjoint bladders were separated and matured into a vesicostomy, and the omphalocele was closed ( Fig. 3 ).
case_images: (
  A
  and
  B
  ) Illustrates a follow-up image at 5 months of age for both babies.
case_images: 10-1055-s-0042-1750134-i210639cr-4.jpg
case_images: PMC9252611_01_10-1055-s-0042-1750134-i210639cr-4.jpg
case_images: FI210639cr-4
case_images: (
  A
  ,
  B
  ) Illustrates a follow-up image of age for both babies.
case_images: 10-1055-s-0042-1750134-i210639cr-5.jpg
case_images: PMC9252611_01_10-1055-s-0042-1750134-i210639cr-5.jpg
case_images: FI210639cr-5