Unusual case of epigastric heteropagus twinning

Ribeiro, Rodrigo Chaves; Maranhão, Renato Frota Albuquerque; Moron, Antônio Fernandes; Leite, Mila Torii Corrêa; Cordioli, Eduardo; Hisaba, W. J.; Martins, José Luiz

doi:10.1016/j.jpedsurg.2004.11.006

Cited by 14 publications

(14 citation statements)

References 4 publications

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“…Ischiopagus (fusion at autosite hip) twins accounted for 5 of the 39 reports, rachipagus (fusion at the spine) for 4, and craniopagus (fusion at the head) for 1. One parasite was described as acardiac acephalic, but the specific juncture site was not mentioned or depicted [56]. In 5 cases, the specific variant was not specified [13].…”

Section: Pathologymentioning

confidence: 99%

Heteropagus (parasitic) twins: a review

Sharma

Mobin

Lypka

et al. 2010

Journal of Pediatric Surgery

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Section: Pathologymentioning

confidence: 99%

Heteropagus (parasitic) twins: a review

Sharma

Mobin

Lypka

et al. 2010

Journal of Pediatric Surgery

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“…It might possess well formed limbs and trunk but it is mostly acephalic and acardiac. Some cases with rudimentary heart, head and thorax have also been reported [4]. Parasitic twinning shows male preponderance [1].…”

Section: Discussionmentioning

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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“…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: 99%

“…The extent of the development in the parasitic twin has also varied in different case reports. Most parasitic twins had better developed lower limbs [2,7,8,11,12], while very few have well-developed upper limbs [6,10]. This may be either because that the lower half of the body in the parasite is more resistant to resorption or the resorption process takes place in a cranio-caudal direction.…”

Section: Discussionmentioning

confidence: 99%

“…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: 99%

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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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Unusual case of epigastric heteropagus twinning

Cited by 14 publications

References 4 publications

Heteropagus (parasitic) twins: a review

Heteropagus (parasitic) twins: a review

Epigastric Heteropagus Twins: A Case Report

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

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