Heteropagus (parasitic) twins

Thoracic heteropagus twins with an omphalocele

“…The majority of the patients have other associated anomalies. [1,4,5]. In our case, the autosite showed omphalocele and interventricular communication.…”

“…Ultrasound, CT scan, or MRI are used to identify the internal anatomy of the twins especially identifying their blood supply and shared organs. [2,4] In our case, CT scan showed shared blood supply to the parasite twin that was originating from the superior mesenteric and left internal mammary arteries of the autosite.…”

“…[3,6,7] The defect created after the excision of the parasite can be closed primarily, but at times it is can be so large that it needs other types of closure using flaps, tissue expanders, and multiple surgeries for a better outcome. [4,5] In our case defect was large and it was closed by random rotational flaps with a good outcome.…”

“…Due to the high anatomical variations in the cases of HT, there is no consensus on the best surgical approach. [4] Therefore, it is advised to perform a thorough physical exam and investigations including advanced imaging to plan the best surgical approach that carries the highest survival and life expectancy of the autosite, whose mortality is as high as 31%. [1] The separation of the parasite twin and simultaneous correction of neural tube defects or omphalocele has been described.…”

Epigastric-Heteropagus Twins Recorded in Madras Presidency in 1789

“…While in Madras, along with Anna-Maria, he made A Series of 11 Coloured Drawings of Indian Plants and Insects in Various Stages of Existence in 1786-787, which is archived in the American Museum of Natural History library. 2 How the terms 'Baron' and 'Baroness', customarily understood as titles of European nobility, come to be associated with the names of Thomas and Anna-Maria Reichels is not clear; possibly Thomas Reichel held the title Baron in Austria. James Anderson (1738-1809), better known as James Anderson of Madras, was the Physician-General in Madras.…”