Abstract
To report a case of cephalo-thoracophagus janicep monosymmetros. A 30 year old female of child bearing age came to the department of radiology for routine obstetric ultrasonography with gestational age of 30 weeks. Patient had never conceived previously. In the current pregnancy patient had complaints in relation with the pregnancy. Routine ultrasonography was performed to obtain diagnostic output. Radiological evaluation revealed conjoined monochorionic monoamniotic twin pregnancy. Detailed screening revealed fusion of head (cephalophagus) with two sided face of which single eye on one ventral side (cyclops) and two eyes on the dorsal side (Janicep) along with fusion of the thorax (thoracophagus). 'Janicep' is derived from the word Janus, the two faced roman God. The presence of this prototype makes the case report of a rare variety. Cephalothoracophagus janicep monosymmetros has a prevalence 1:50,000 to 1:200,000 with a male:female ratio of 1:3. However post caesarean delivery of the conjoined twin revealed female sex making the case report more rare.
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