Table of Contents    
Case Report
 
A rare case of heteropagus twin managed in his preadolescence at a rural tertiary level medical institute
Shailendra Pal Singh1, Subhash Singh Rajput2
1MS, Associate Professor, Department of Surgery, UP Rural Institute of Medical Sciences & Research, Saifai, Etawah, Uttar Pradesh, India.
2Mch, Professor and Head, Department of CVTS, UP Rural Institute of Medical Sciences & Research, Saifai, Etawah, Uttar Pradesh, India.

doi:10.5348/ijcri-2012-08-162-CR-9

Address correspondence to:
Dr. Shailendra Pal Singh
B203 TYPE 4 Doctor's Residence
UP Rural Institute of Medical Sciences & Research
Saifai, Etawah, Uttar Pradesh, Pin code: 206301
India
Phone: +919457879726
Fax: +91 5688 276501
Email: drspsinghsaifai@gmail.com

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How to cite this article:
Singh SP, Rajput SS. A rare case of heteropagus twin managed in his preadolescence at a rural tertiary level medical institute. International Journal of Case Reports and Images 2012;3(8):31–33.


Abstract
Introduction: Parasitic or heteropagus twins are asymmetric conjoined twins in whom the severely defective twin (parasite) is depended on intact twin (autosite) for its vascular supply and growth. It is an extremely rare condition with estimated incidence of less than one per million live births.
Case Report: A case of this rare entity which presented to us late in his preadolescence. The parasite had partially developed pelvis, lower limbs, nipples, hairs, nails and loops of the intestine. The case was successfully managed at a rural tertiary level institute.
Conclusion: Parasitic or heteropagus twin is a extremely rare condition which require detailed evaluation to diagnose the degree of vascular, organ and soft tissue attachments before successful surgical excision.

Key Words: Parasitic twin, Heteropagus twin, Malformation, Exoparasitic twin

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Author Contributions:
Shailendra Pal Singh – Conception and the main operating surgeon, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Subhash Singh Rajput – Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Shailendra Pal Singh et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)