Abstract
Asymmetrical conjoined twinning is an extremely rare congenital anomaly constituting only 1%–2% of all conjoined twins. In epigastric heteropagus twins (EHT), the dependent portion (parasite) is smaller than the host (autosite). The embryopathy is related to incomplete cleavage of the embryo at 2 weeks of gestation. However, some form of ischaemic insult in early gestation leads to selective atrophy of the cranial part of one of the monozygous twins. We report our experience with four cases of EHT and a review of the literature with a discussion of possible embryopathy.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
Author information
Authors and Affiliations
Additional information
Accepted: 14 April 2000
Rights and permissions
About this article
Cite this article
Gupta, D., Lall, A. & Bajpai, M. Epigastric heteropagus twins – a report of four cases. Pediatr Surg Int 17, 481–482 (2001). https://doi.org/10.1007/s003830000473
Issue Date:
DOI: https://doi.org/10.1007/s003830000473