Management of Rachipagus Parasitic Twin

Abstract

Occurrence of asymmetrical or parasitic conjoined twins (CT) is rare, and currently they are classified analogically to the common unions of symmetrical CT. We report on an infant with a parasitic third limb attached to the back at thoracolumber area , in whom male genitalia was found . Parasite parts included incomplete upper limb, hemipelvis, thoracolumber vertebral column, spinal cord, and one kidney with ureter ,small bowel, lung tissue and adrenal gland. Auto site anomalies comprised evidence of thoracolumbar meningomyelocele. We considered this case to be a rare atypical parasitic rachiopagus CT. The differential diagnosis of the type of twining and other entities with caudal duplications is analyzed briefly . We report a case of rachipagus parasitic twin diagnosed delivered a live baby at 34 weeks of gestation to 30-year-old primgravida woman with history of 10 years secondary infertility .