PMC9931383_01
A and B: A one-week-old newborn in good general condition with paraplegia (T12-L1) with a parasitic twin attached from the dorso-lumbosacral region, amorphous, that contains rudimentary traces of the hand, right finger and left finger outline, and two extremities. C and D: Simple tomographic images and 3D reconstruction where the amorphous parasite twin with a liquid cavity and part of the extremities adhered to the newborn with the organs, viscera, muscles, and bones of the latter with adequate biology and formation. D and E: Magnetic resonance images in T1 and T2 where it is observed that both share the same column, spinal defect of the posterior elements from L1 to L2 onward, compatible with spina bifida with nerve root involvement and with a lesion compatible with myelomeningocele with multiple septal agenesis of almost the entire sacrum with a discreet vestige.
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FIG1
Physical examination showed multiple malformations (Figure 1A-1F).
A: Exposure of the cystic cavity of the meningocele. B and C: Disarticulation and muscular vestiges of the parasitic twin. D: Myocutaneous fascia flap and closure of the entire skin defect.
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FIG2
Then we proceeded to resect the remaining vestiges of the skin and muscular structures of the parasitic twin (Figure 2A-2D).