Conjoined twins represent an uncommon congenital malformation, with an estimated incidence of 1: 50,000-1: 100,000,1 and approximate 75 Percent of cases are females.2,3 Usually, conjoined twins are classified according to the most prominent site of conjunction: thorax (thoracopagus) 40 Percent , abdomen (
xiphopagus and omphalopagus) 33 Percent , sacrum (pygopagus) 18 Percent , pelvis (ischiopagus) 6 Percent , and craniopagus (1-2 Percent).3,4