Conjoined twins sharing major organs and with discordant congenital anomaly.

Thoraco-omphalopagus conjoined twins born to a 25-year-old para one Ethiopian lady are presented. Prenatal diagnosis was not made until elective cesarean section delivery was done for severe preeclampsia and twin pregnancy with breech presentation. Detailed autopsy results and relevant literature reviews are described. To the best of our knowledge, these are the second-documented cases of conjoined twins in this country.