Conjoined twins are rare, heteropagus conjoined twins are rarer, and epigastric heteropagus conjoined twins are rarer still. It refers to unequal and asymmetrical twinning in which the dependant component (parasite) is smaller and attached to the epigastrium of the dominant component (autosite). We report 3 cases of epigastric heteropagus conjoined twinning. A review of literature is presented along with a discussion of possible etiopathogenesis.
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Case report: Epigastric heteropagus twins and literature review.
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Department of Neonatal Surgery, Shenzhen Children's Hospital, Shenzhen, China.
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Epigastric heteropagus and omphalocele.
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We report a case of epigastric heteropagus twins with omphalocele. The parasite had two lower limbs, genitalia with developed phallus and scrotum but absent testis and absent anus. An omphalocele was present just below the attachment of the parasitic twin.
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In heteropagus twins, the parasitic twin is incompletely formed which is attached to the autosite. We report a case of epigastric heteropagus twins with omphalocele. The parasite had two lower limbs, a rudimentary upper limb, genitalia with developed phallus and scrotum but absent testis.
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Heteropagus twins are an extremely rare form of asymmetrical conjoined monochorial, monoamniotic twins with an estimated incidence of less than one per one million live births. An often used synonym is parasitic twins. We report a very rare case of epigastric heteropagus twins with a large omphalocoele.
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