A rare case of sacral parasitic rachipagus

Background: A sacral parasitic twin is a variant of conjoined twins in which one incomplete.
 Case: female newborn was delivered by cesarean section. Reported inconclusive obstetrical ultrasonography at the first trimester where pregnancy initially diagnosed dizygotic and second third monozygotic. The neonate born with mass sacrococcygeal region, excised 24 days after birth. contained scalp, skull, cervical spine bone, brain, were confirmed as twins. post-operative follow up periods uneventful.
 Conclusion: Sacral rachipagus rare phenomenon; experienced antenatal may assist early diagnosis excision treatment.