Usually means: Twins conjoined at the buttocks.
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We found 8 dictionaries that define the word pygopagus:

General (4 matching dictionaries)
  1. pygopagus: Wordnik
  2. pygopagus: Wiktionary
  3. pygopagus: Dictionary.com
  4. Pygopagus: Wikipedia, the Free Encyclopedia

Medicine (4 matching dictionaries)
  1. pygopagus: Merriam-Webster Medical Dictionary
  2. Dorland's Illustrated Medical Dictionary (No longer online)
  3. online medical dictionary (No longer online)
  4. pygopagus: Medical dictionary

Definitions from Wiktionary (pygopagus)

noun:  (medicine) A conjoined twin, or a pair of conjoined twins, exhibiting fusion of the sacrum.

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