Epigastric heteropagus twins - a report of four cases

Gupta, Devendra K.; Lall, Anupam; Bajpai, Minu

doi:10.1007/s003830000473

Cited by 27 publications

(26 citation statements)

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“…To our knowledge, only 27 cases have been reported in the English literature. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] In some cases, the parasite was attached to the chest wall of the autosite, but these cases were still categorized as epigastric heteropagus. 2,7,12,13 In epigastric heteropagus, the parasite usually has a rudimentary upper part of the body, a pelvic bone, visceral organs such as a bladder, kidney, genitourinary organs, gastrointestinal tract, and lower limbs, but the pattern of abnormalities differs from that in caudal duplication (dipygus).…”

Section: Introductionmentioning

confidence: 99%

Bizarre Presentation of Epigastric Heteropagus: Report of a Case

et al. 2006

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We report an unusual case of epigastric heteropagus in a female neonate. The parasite had a single lung as well as a liver, stomach, intestine, pancreas, ovaries, a single kidney, and a bladder. These visceral organs were located in the abdominal and pelvic space of the autosite, and the pelvic bone and lower legs of the parasite were fused with the respective organs in the autosite. The infant underwent operations to remove the central leg and some of the intra-abdominal organs of the parasite, but she must still undergo further surgery to remove the genitourinary organs and pelvic bones of the parasite, and repair her very abducted and rotated right leg.

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Section: Introductionmentioning

confidence: 99%

Bizarre Presentation of Epigastric Heteropagus: Report of a Case

et al. 2006

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“…While conjoint twins have the highest incidence of being attached at the thorax (thoracopagus) [1], the literature has very few cases of thoracopagus parasitic twins [1,2]. In most of the reported cases, the parasitic twins were found to be attached at the epigastrium and frequently also had omphalocele [1][2][3][4][5][6][7][8][9][10][11][12]. We, herein, report two sets of thoracopagus parasitic twins.…”

Section: Introductionmentioning

confidence: 72%

“…Therefore, both sets of twins described by us are rare variants. Most cases described in the literature have quoted the attachment of the parasitic twin at the epigastric region [1][2][3][4][5][6][7][8][9][10][11][12]. The extent of the development in the parasitic twin has also varied in different case reports.…”

Section: Discussionmentioning

confidence: 97%

Thoracopagus parasites in two sets of twins: evidence for the ‘fusion theory’

et al. 2008

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We report two sets of parasitic twins attached in the thoracic region. Exomphalos major in the autosite was present in both cases. While in case 1, the autosite could be salvaged after easier dissection, in case 2, the autosite could not be salvaged due to the presence of the life-threatening anomalies. The presence of a right-angled communication between the gastrointestinal tracts of the autosite and the independent tactile responses of the parasite from that in the autosite supports the 'fusion theory' to explain the fusion of the embryos that could have led to this defect. The presence of the ano-rectal malformation and common bile duct dilatation exclusively in the parasite appears to be the result of the abnormalities in the endodermal-mesodermal interactions, probably due to the relative positioning of the parasite with respect to the autosite.

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“…Some cases with rudimentary heart, head and thorax have also been reported [4]. Parasitic twinning shows male preponderance [1]. The parasite may have variable components.…”

Section: Discussionmentioning

confidence: 99%

“…However, the cranial part of one of these monozygotic twins undergoes selective atrophy following an ischaemic insult in the early gestational period [1].…”

Section: Introductionmentioning

confidence: 99%

Epigastric Heteropagus Twins: A Case Report

Chauhan¹,

Sharma²,

Sharma³

et al. 2017

IJAR

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Epigastric Heteropagus Twinning is a rare congenital anomaly, constituting 1-2% cases of conjoined twins. In this type of twinning, the dependent portion (parasite) is attached to the epigastric region of the fully formed host (autosite) and derives nutrition from it. We report a case of Epigastric Heteropagus Twins born in a private nursing home in Jaipur, Rajasthan. The parasite exhibits rudimentary lower limbs and male external genitalia. It was a case of abortive twinning. The twins were separated and brought to the Department of Anatomy, SMS Medical College, Jaipur for academic interest. The blood supply of the parasite was found to be derived from falciform ligament.

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Epigastric heteropagus twins - a report of four cases

Cited by 27 publications

References 0 publications

Bizarre Presentation of Epigastric Heteropagus: Report of a Case

Bizarre Presentation of Epigastric Heteropagus: Report of a Case

Thoracopagus parasites in two sets of twins: evidence for the ‘fusion theory’

Epigastric Heteropagus Twins: A Case Report

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