Conjoined twins are a very rare entity.It is associated with poor survival rate in the presence of vital organ sharing.The entity can be diagnosed as early as the first trimester.
A conjoined GUM PEPPERMINT twin diagnosed late in labor is a malady with high perinatal mortality and maternal morbidity.We present one such case of xiphopagus twins.The management of a case diagnosed late in labor can be very challenging.
Such Salmon obstetric challenges can be avoided by a meticulous early scan with a high index of suspicion, especially in the absence of separating membrane while scanning multiple pregnancies.