IntroductionConjoined twins are identical twins with fused bodies, joined in utero. They are rare complications of monochorionic twinning. The purpose of this study is to describe the various types of conjoined twins, the role of imaging and recent advances aiding in their management.Material and methodsThis was a twin institutional study involving 3 cases of conjoined twins diagnosed over a period of 6 years from 2010 to 2015. All the 3 cases were identified antenatally by ultrasound. Only one case was further evaluated by MRI.ResultsThree cases of conjoined twins (cephalopagus, thoracopagus and omphalopagus) were accurately diagnosed on antenatal ultrasound. After detailed counseling of the parents and obtaining written consent, all the three cases of pregnancy were terminated. Delivery of the viable conjoined twins was achieved without any complications to the mothers, and all the three conjoined twins died after a few minutes.ConclusionUltrasound enables an early and accurate diagnosis of conjoined twins, which is vital for obstetric management. MRI is reserved for better tissue characterization. Termination of pregnancy when opted, should be done at an early stage as later stages are fraught with problems. Recent advances, such as 3D printing, may aid in surgical pre-planning, thereby enabling successful surgical separation of conjoined twins.

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The outbreak of COVID-19 has become a globally concerning pandemic having affected more than 5 million people worldwide. The disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is highly contagious. Only limited literature exists on the evaluation and management of pregnant women with suspected or confirmed COVID-19. In this short commentary, we inform the readers of the potential role of chest CT in symptomatic COVID-19 pregnant women and the related limitations.

One of the most rarest of the entities diagnosed is the ovarian vein thrombosis, especially when in the postpartum period which occurs in 0.05% -0.18% of the pregnancies mainly associated with the right side 90% of the times. The mortality and morbidity encountered has been found on a higher range if not diagnosed appropriately and at the right moment. We present forward a case of a 28-year-old woman at seven days postpartum presented with a severe excruciating right lower quadrant abdominal pain. Her contrast enhanced CT of the abdomen and pelvis revealed a large right ovarian vein thrombosis. The patient was managed as decided and planned by the involvement of a multidisciplinary team with antibiotics and anticoagulant therapy. This case we encountered illustrates the importance of prompt diagnosis and appropriate treatment of OVT therefore planning at the best interest of the patient.

Epithelial ovarian tumours are rare in the adolescent age group, accounting for less than 15% of overall ovarian malignancy. Of this, one-fourth of them are mucinous in nature. Mucinous cystadenomas, being precursors of borderline and invasive ovarian tumours, can reach to size as large as 15-30 cm in diameter without having malignant potential. Also, intraoperative management of such large abdominal mass can be challenging. We present a case of a giant unilateral 12 kg mucinous cystadenoma in a 13-year-old young girl, that grew over a period of 1 year. She underwent left salpingo-oophorectomy after decompression of the mass without any complications.