A Case of Epigastrius : Asymmetric Conjoined Twins

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  • Epigastrius(上腹体)の 1 例

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Abstract

Conjoined twins are a rare congenital anomaly, but epigastrius, in which the parasitic twin is attached to the autosite at the epigastric region, is an even rarer type of asymmetric conjoined twins. We experienced a case of the anomaly and succeeded in separating the parasite. The autosite was complicated with omphalocele, tetralogy of Fallot and right eye defect but the patient was discharged after the Blalock-Taussig operation. The parasite contained differentiated organs but only included pelvic girdle with a pair of complete lower limbs and visceral organs which consist of small and large intestine, kidney, ureter, urinary bladder, testis, epidydimis and penis. The intestinal tissue had the intramural ganglion cells which were presumed to have migrated and differentiated from the precursor cells by the time of the parasite formation.

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