Type of Article:  Case Report

Volume 5; Issue 2.1 (April 2017)

Page No.: 3750-3752

DOI: https://dx.doi.org/10.16965/ijar.2017.165


Sangita Chauhan 1, Shreya Sharma *2, Preksha Sharma 3, Neeru Sharma 4.

1 Senior Professor, Department of Anatomy, SMS Medical College, JLN Marg, Jaipur, India.

*2 M.Sc.(Med.)Anatomy, Department of Anatomy, SMS Medical College, JLN Marg, Jaipur, India.

3 M.S. (Anatomy), Department of Anatomy, SMS Medical College, JLN Marg, Jaipur, India.

4 Consultant Gynaecologist, Neeru Clinic, 6-Gopinath Marg, M.I. Road, Jaipur, India.

Corresponding Author: Dr. Shreya Sharma, 86/25, Kumbha Marg, Pratap Nagar, Sanganer, Jaipur (Rajasthan) 302033, +91-9983469469 E-Mail: drshreyasharma@live.com


Epigastric Heteropagus Twinning is a rare congenital anomaly, constituting 1-2% cases of conjoined twins. In this type of twinning, the dependent portion (parasite) is attached to the epigastric region of the fully formed host (autosite) and derives nutrition from it. We report a case of Epigastric Heteropagus Twins born in a private nursing home in Jaipur, Rajasthan. The parasite exhibits rudimentary lower limbs and male external genitalia. It was a case of abortive twinning. The twins were separated and brought to the Department of Anatomy, SMS Medical College, Jaipur for academic interest. The blood supply of the parasite was found to be derived from falciform ligament.

Key words: Parasitic Twins, EHT, Conjoined Twins.


  1. Gupta DK, Lall A, Bajpai M. Epigastric heteropagus twins–a report of four cases. Pediatric surgery international. 2001 Jul 8;17(5):481-2.
  2. Hwang E.H., Han S.J., Lee J.-S., Lee M.K. An unusual case of monozygotic epigastric heteropagus twinning. Journal of Pediatric Surgery. 1996;31(10):1457-1460.
  3. O’Neill Jr JA, Holcomb III GW, Schnaufer L, et al. Surgical experience with thirteen conjoined twins. Ann Surg 1988;208:299-312.
  4. Ribeiro RC, Maranhão RF, Moron AF, et al. Unusual case of epigastric heteropagus twinning. J Pediatr Surg. 2005;40:39-41.
  5. Kanamori Y, Tomonaga T, Sugiyama M, et al. Bizarre presentation of epigastric heteropagus: report of a case. Surg Today. 2006;36:914-8.
  6. Cury EK, Schraibman V. Epigastric heteropagus twinning. J Pediatr Surg. 2001;36:11.
  7. Spencer R. Theoretical and analytical embryology of conjoined twins: part I: embryogenesis.Clin Anat. 2000;13(1):36-53.
  8. Zimmerman AA. Embryologic and anatomic considerations of conjoined twins. National Foundation. 1967;3:18.
  9. Spencer R. Parasitic conjoined twins: external, internal (fetuses in fetu and teratomas), and detached (acardiacs) Clin Anat. 2001;14:428-44.
  10. Bhansali M, Sharma DB, Raina VK. Epigastric heteropagus twins: 3 cases reports with review of literature. Journal of Pediatric Surgery. 2005;40(7):1204–8.

Cite this article: Sangita Chauhan, Shreya Sharma, Preksha Sharma, Neeru Sharma. EPIGASTRIC HETEROPAGUS TWINS: A CASE REPORT. Int J Anat Res 2017;5(2.1):3750-3752. DOI: 10.16965/ijar.2017.165