“…Prevalence, although variable, has been estimated to be 1 in 50,000 to 1 in 100,000 births [Hanson, 1975; Källén and Rybo, 1978; Edmonds and Layde, 1982; Viljoen et al, 1983; Castilla et al, 1988; ICBDMS, 1991; Rees et al, 1993; Martínez‐Frías et al, 2009]. CT is not restricted to humans; it has been reported in fish, reptiles, birds, primates, and other mammals [Levin et al, 1996; Canfield et al, 2000]. The first aspect to consider is as stated by Weber and Sebire [2010] that “CT is itself a malformation and is associated with secondary changes related to abnormal conjoined organs and superimposed effects of abnormal hemodynamics.” Proposed mechanisms of the defect cannot explain the alterations in the normal developmental process, by which a pair of monozygotic (MZ) twins do not fully separate from each other and continue their normal embryologic development.…”