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Abstract
We present a case of heteropagus twins attached to the epigastric region. The neonate also had ruptured giant omphalocoele with most of gut and liver lying outside the abdominal cavity. Patient had uneventful surgery for separation of twins and repair of ruptured omphalocoele.
Highlights
Conjoint twinning is a rare entity with occurrence rate of 1 in 50,000 to 1 in 100,000 live births.[1]
We present a case of epigastric heteropagus twins with ruptured giant omphalocele
Conjoint twins are a special area of pediatric surgery that require a lot of preoperative workup to clearly identify the altered anatomy, level of cleavage, associated anomalies, probability of EL-MED-Pub Publishers
Summary
Conjoint twinning is a rare entity with occurrence rate of 1 in 50,000 to 1 in 100,000 live births.[1]. Conjoint twinning is a rare entity with occurrence rate of 1 in 50,000 to 1 in 100,000 live births.[1] When one in the conjoint twins is having major congenital anomalies and is attached to a normal looking fetus, the set is said to be asymmetrical or Heteropagus.[2] We present a case of epigastric heteropagus twins with ruptured giant omphalocele. A full-term male baby born to a 30 years old primigravida through spontaneous vaginal delivery referred to us with anterior abdominal wall defect and four extra limbs with small trunk attached to the epigastric area. The parasite twin was attached to the right side of xiphoid sternum in the epigastrium and had well-formed mermaid like fused lower limbs.
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