Conjoined twins are one of the most uncommon congenital anomalies, with an incidence between one in 50 000 and one in 100 000 births. Conjoined twins are classified by dorsal or ventral site. Of fusion and anatomic region of fusion. Conjoined twins are identical twins joined in utero. An extremely rare phenomenon, the occurrence is estimated to range from 1 in 49,000 births to 1 in 189,000 births, with a. Somewhat higher incidence in Southwest Asia and Africa.
 Approximately half are. Conjoined twins begin as a single fertilized egg. Sometimes a single egg splits in half to create 2 separate identical twins. Usually this happens about 2 weeks after the egg. Is fertilized. There are 2 ideas about what causes conjoined twinning: The egg.
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