Abstract

of the mass. Pathological examination showed macerated tissue enclosed in an amniotic bag. The peduncle consisted of a vascular pedicle lined with amnion and could be assumed to be a umbilical cord. The mass was covered by skin and included adipose tissue and a row of cartilaginous nodules evoking the spine. Based on these findings, parasitic sacral conjoined twin was diagnosed. The infant underwent surgical removal of the precoccygeal cyst that had been confirmed on postnatal ultrasound scan. On pathological examination it corresponded to an intestinal sac that was then interpreted as part of the parasitic twin.

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