The twins are not separated, and it is not known if the doctors will attempt such a complicated surgery. Still, doctors believe that the case highlights that "there is still room for surgical correction to be performed" in cases where separation is not possible. A birth like this takes place when the embryo only partially separates to form two people due to a congenital birth defect, as per Mayo Clinic.Conjoined twins born fused together have been living in Indonesia in an ultra rare case, a medical journal has revealed. The twin boys are joined together “like a spider” and were born with three legs and four arms in 2018, according to the American Journal of Case Reports. Both boys have functioning upper limbs but were fused near their pelvis, and share a bladder and intestines.