Images in Clinical Practice Indian Pediatrics 1999;36:327 |
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Epigastric Heteropagus |
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As the parasitic twin did not cause any distress to its host, immediate surgical separation of the pair was not attempted. The baby was sent home advising conservative management of the omphalocele by regular application of mercurochrome over it. The pair thrived well and reported back about 2 months later, By this time, the omphalocele had healed almost completely. The parasite was excised successfully during this presentation, it had no visceral organs except two rudimentary kidneylike structures, confirmed later by histological examination. The host baby was doing well at follow-up 6 weeks later. Incomplete parasitic twin or heteropagus at the epigastric region is an extremely rare congenital malformation.U.K. Borah, Department of Pediatric Surgery, Gauhati Medical College, Guwahati 781032, India. |