Epigastric heteropagus conjoined twins: two case studies and associated DNA analysis

Xie, Juntao; Zhou, I Li; Yang, In-Suk; Sun, Ibrahim

doi:10.6061/clinics/2012(05)22

Cited by 12 publications

(9 citation statements)

References 8 publications

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“…Surgical excision of the parasite in the neonatal period and delayed omphalocele repair using mesh (Ethicon VYPRO II). [3] After extensive search in the literature, we have not found any report in which use of a flap has been made for repair of omphalocele, in case of epigastric heteropagus.…”

Section: Discussionmentioning

confidence: 95%

“…[1] Asymmetrical conjoined twins refers to unequal and asymmetrical twinning, in which the dependent component (parasite) is smaller and attached to any portion of body of the dominant component (auto-site) or even within the body as a fetus-in-fetu. Epigastric heteropagus conjoined twins, a condition in which a parasitic twin is attached to the epigastrium of the auto-site, is extremely rare [1][2][3][4][5] and only 44 cases have been previously reported in the world literature. [4] Embryologically, epigastric heteropagus results from ischemic atrophy of one fetus at an early stage of gestation and selective atrophy of the cranial part of the parasite.…”

Section: Discussionmentioning

confidence: 99%

“…[4] Embryologically, epigastric heteropagus results from ischemic atrophy of one fetus at an early stage of gestation and selective atrophy of the cranial part of the parasite. [3] Epigastric conjoined twins are predominantly males. In epigastric heteropagus; the parasite has duplication of the pelvis and pelvic organs, such as the complete urinary Investigative work-up, apart from routine, consists of contrast enhanced computerized tomography (CECT), barium meal follow through, 2D-ECHO, and angiography.…”

Section: Discussionmentioning

confidence: 99%

“…[1,2] Various approaches for the management of omphalocele and epigastric heteropagus have been described. [3,4] We report a novel approach for the repair of omphalocele using the gluteal skin flap available from the parasite.…”

mentioning

confidence: 99%

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Gluteal flap for omphalocele repair in a case of epigastric heteropagus: A novel approach for surgical management

Kesan

Gupta

et al. 2013

Indian J Plast Surg

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Epigastric heteropagus is an extremely rare congenital anomaly, in which there is asymmetrical conjoined twinning, with the parasitic twin attached to the epigastrium. A 2-day-old male, with epigastric heteropagus and omphalocele, was operated in our institution. After excision of the parasitic twin, omphalocele was covered with a gluteal skin flap available from the parasitic twin. Post-operative course was uneventful, except for infection along the edges of the skin flaps, which was managed conservatively. Only 44 cases of epigastric heteropagus twins have been reported previously in world literature. We present a novel surgical approach for the repair of the omphalocele in a case of epigastric heteropagus twins, probably the 45th case to be reported in the world literature.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Gluteal flap for omphalocele repair in a case of epigastric heteropagus: A novel approach for surgical management

Kesan

Gupta

et al. 2013

Indian J Plast Surg

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“…Long-term follow-up of these babies following separation is very limited. One baby who was followed up to 52 months following surgical separation had normal growth and development (12).…”

Section: Answermentioning

confidence: 99%