Omphalopagus parasitic twin: a case report and literature review

Ramdhani Yadav¹, Asjad Karim Bakhteyar¹, Rupesh Keshri², Digamber Chaubey³, Sandip Kumar Rahul²

Keywords: Autosite, Embryonic death, Omphalopagus, Parasitic twin

DOI: 10.32677/yjm.v3i1.4404

DOI URL: https://doi.org/10.32677/yjm.v3i1.4404

Publish Date: 11-05-2024

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Pages: 48 - 50

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Downloads: 4

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Author Affiliation:

¹Pediatric Surgeon, Department of Paediatric Surgery, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, 
²Pediatric Surgeon, Department of Paediatric Surgery, All India Institute of Medical Sciences, Deoghar, Jharkhand, 
³Pediatric Surgeon, Department of Paediatric Surgery, All India Institute of Medical Sciences, Patna, Bihar, India

Abstract

Parasitic conjoined twins arise from the embryonic death of one twin, whose body parts remain vascularized and attached to the primary twin. Parasitic twins are rare and present unique challenges regarding the location of their attachment to the autosite and shared organs. In this case report, we describe the presentation and treatment of a parasitic omphalopagus twin that shared its liver with the autosite left liver lobe. The condition was not recognized before delivery, most likely due to the lack of prenatal care in the remote rural area to which the patient belonged. After a vaginal delivery, the twins were referred to our tertiary center, where a successful separation of the parasitic omphalopagus twin from the autosite was achieved.

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