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Epigastric Heteropagus Twins : A Report of Four Cases

ACHARIYA TONGSIN,MD*, RANGSAN NIRAMIS, MD*, TONGKAO RATTANASUWAN, MD*

Affiliation : * Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand.

Abstract
Epigastric heteropagus twins (EHT) is a rare form of conjoined twins. It refers to unequal and asymmetric conjoined twins in which the dependent part (parasite) is attached to the epigastrium of the dominant part (autosite). The authors herein report four cases of EHT. Omphalocele was pre sent in 3 patients. Surgical excision of the parasite and repair of the abdominal wall defect were successful in three cases. Three infants had associated cardiac anomalies and one of them died during surgery from cardiopulmonary failure.

Keywords : Conjoined Twins, Epigastric Heteropagus, Parasitic Twinning


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