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CASE REPORT
Year : 2016  |  Volume : 13  |  Issue : 4  |  Page : 209-212

Thoracic heteropagus conjoined twins associated to an omphalocele: Report of a case and complete review of the literature


Department of Pediatric Surgery, Hedi Chaker Hospital, 30219 Sfax, Tunisia

Correspondence Address:
Kotti Ahmed
Department of Pediatric Surgery, Hedi Chaker Hospital, 30219 Sfax
Tunisia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.194670

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Heteropagus twins are an extremely rare event with an incidence of 1–2 million live births that represents, sometimes, a real challenge for paediatric surgeons. The majority of cases have complete or partial duplication of the pelvis and/or lower extremities. Thoracic heteropagus conjoined twins is a rare condition in which a grossly defective foetus (the parasite) is attached to the thorax of the main foetus (the autosite). We describe a case of a parasitic heteropagus attached at the chest wall with a rare presentation of giant exomphalos on the autosite. In this situation, the separation procedure was simple after a well-done anatomic study using X-ray, ultrasonography, magnetic resonance and echocardiogram are performed.


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