PMC7388169_01
PMC7388169_02
Shows parasitic twins and the parasite was attached to the living one at the perineum posterior to the anus.
gr1.jpg
PMC7388169_02_gr1.jpg
fig0005
The parasite was attached to the living one at the perineum posterior to the anus and shifting it forwards but not attached to the vertebral column (Fig. 1).
PMC7388169_03
Epigastric heteropagus and the parasite was attached to the epigastric region midway between the xiphisternum and the omphalocele.
gr2.jpg
PMC7388169_03_gr2.jpg
fig0010
The feeding vessels were ligated and the defect in the host abdominal wall was repaired as shown in (Fig. 2).
PMC7388169_04
The parasite was connected to the host skin just above the host omphalocele and through it.
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PMC7388169_04_gr3.jpg
fig0015
Surgery was done and the parasite was separated from the host and the abdominal wall of the host was repaired with ease with umbilicoplasty (Fig. 3).
PMC7388169_05
Xiphoomphalopagus conjoined twins conjoined by the sternum and supra-umbilical abdominal wall.
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PMC7388169_05_gr4.jpg
fig0020
Multi-slice CT abdomen and chest with contrast revealed separate organs of both twins including both livers, which had separable blood supply, both pleurae touching each other through a defect in both sternums, and internal mammary vessels connected (Fig. 4).