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Parasitic rachipagus conjoined twin: case report
Nima Khavanin1, John R Ruge2, Frank A Vicari3
11Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland; and.
Journal of Neurosurgery. Pediatrics
|June 9, 2018
Summary
This study details a rare case of rachipagus parasitic twin in a 9-month-old girl. The parasitic twin, attached at the spine with lower extremities, was successfully surgically removed.
Area of Science:
- Medical Science
- Developmental Biology
- Surgical Innovation
Background:
- Parasitic twins are rare developmental anomalies where a nonviable conjoined twin attaches to a host.
- Rachipagus twins, a rare subtype, involve parasitic masses attached at the spine.
Observation:
- A 9-month-old female presented with a rachipagus parasitic twin.
- The parasitic twin featured fully developed lower extremities originating from the upper back.
Findings:
- Comprehensive workup successfully delineated the anatomy of both the parasite and the autosite.
- Surgical excision of the parasitic twin mass was achieved by a multidisciplinary surgical team.
Implications:
- Successful single-stage closure of the resulting defect was performed.
- This case highlights advancements in managing rare conjoined twin anomalies.
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