An unusual case of monozygotic epigastric heteropagus twinning.

Abstract:

:Epigastric heteropagus refers to unequal and asymmetric conjoined twins in which the dependent component (parasite) is smaller and usually attached to the epigastrium of the dominant component (autosite). Epigastric heteropagus is a very rare type of conjoined twins. It is generally assumed that conjoined twins represent a form of monozygotic twinning, but there has been no confirmation of this monozygotic hypothesis. Epigastric heteropagus twins differ in several ways from symmetrical conjoined twins. These include male preponderance, and no major connection of vessels, bowels, or bones. These significant characteristics suggest to the authors that the fusion of two fertilized ova and the atrophy of one fetus resulted in this interesting malformation. However, a DNA study indicated monozygotic origin in their case. The possible pathogenesis was ischemic atrophy of the body structure of the monozygotic conjoined twins at an early gestational age.

journal_name

J Pediatr Surg

authors

Hwang EH,Han SJ,Lee JS,Lee MK

doi

10.1016/s0022-3468(96)90857-x

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

1457-60

issue

10

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(96)90857-X

journal_volume

31

pub_type

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