ILI
Parasitic twin which caused spectrum of anomalies of autosite
Kavecan I, Obrenovic M, Jeckovic M, Koprivsek K, Savic R, Privrodski B
A female newborn was born with dorsal mass on her cervico-thoracal region. She was reffered to Genetic department for the evaluation of her anomalies. On her back she had a accessory partial and hypoplastic upper arms (3 fingers – one came-off, hypoplastic ulna, radius, humerus, 2 scapulas) completely covered with skin, that measured approximately 10 cm in diameter, soft in consistency, that showed no movement, sensitive to touch, with spectrum of associated anomalies (Fig. 1). MRI showed meningomielocela, vertebral and ribs anomalies and righed-sided Bochdalek hernia. Echocardiography did not reveal any associated anomaly. Her karyotype was normal. Prenatal and family history were unremarkable. …show more content…
Heteropagus as incomplete parasitic mono zygotic twin is asymmetrical physically attached and depends on the primary living twin for survival. According fused anatomical localization Potter classified the parasitic twins into few types. Asymmetric growth of a body parts of parasitic twin completely depende on the viabile autosite fetus. Conjoined twins joined dorsally in the vertebral column is parasitic rachipagus, Greek rachi-(spine); pagus-(fixed), and is the most rare type of all conjoined twins. The most common parasitic organ is a limb. Upper extremity in the cervical rachipagus is the most common and the lower extremity in the thoracic or lumbar