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Original ArticleOpen Access
Epigastric Heteropagus Twins : A Report of Four Cases
charity A 
,
Niramis Rs ,
Rattanasuwan T
,
Niramis Rs ,
Rattanasuwan T 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.
Key word : Conjoined Twins, Epigastric Heteropagus, Parasitic Twinning
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.
Key word : Conjoined Twins, Epigastric Heteropagus, Parasitic Twinning
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