PMC4564026_01
4D echography, gestational age 21 weeks, viable fetus and parasite fetus (face)
JMedLife-08-115-g001.jpg
PMC4564026_01_JMedLife-08-115-g001.jpg
F1
An ultrasonographic diagnosis was established: monochorionic monoamniotic twin pregnancy, 21 weeks of gestational age, with one of the fetuses being an external parasite intimately attached to the epigastric region of the viable fetus, epigastric heteropagus, both male (Fig. 1-3).
4D echography, gestational age 21 weeks, viable fetus and parasite fetus (profile)
JMedLife-08-115-g002.jpg
PMC4564026_01_JMedLife-08-115-g002.jpg
F2
An ultrasonographic diagnosis was established: monochorionic monoamniotic twin pregnancy, 21 weeks of gestational age, with one of the fetuses being an external parasite intimately attached to the epigastric region of the viable fetus, epigastric heteropagus, both male (Fig. 1-3).
4D echography, gestational age 21 weeks, viable fetus and parasite fetus (measurement of anchor pedicle)
JMedLife-08-115-g003.jpg
PMC4564026_01_JMedLife-08-115-g003.jpg
F3
An ultrasonographic diagnosis was established: monochorionic monoamniotic twin pregnancy, 21 weeks of gestational age, with one of the fetuses being an external parasite intimately attached to the epigastric region of the viable fetus, epigastric heteropagus, both male (Fig. 1-3).
PMC4564026_02
Fetal MRI-gestational age 21 weeks, viable fetus and parasite fetus (longitudinal plan)
JMedLife-08-115-g004.jpg
PMC4564026_02_JMedLife-08-115-g004.jpg
F4
The connection area between the two also displayed an omphalocele (Fig. 4-7).
Fetal MRI-gestational age 22 weeks, viable fetus and parasite fetus (transverse plan)
JMedLife-08-115-g005.jpg
PMC4564026_02_JMedLife-08-115-g005.jpg
F5
The connection area between the two also displayed an omphalocele (Fig. 4-7).
Fetal RMN-gestational age 22 weeks, viable fetus and parasite fetus
JMedLife-08-115-g006.jpg
PMC4564026_02_JMedLife-08-115-g006.jpg
F6
The connection area between the two also displayed an omphalocele (Fig. 4-7).
Fetal MRI-gestational age 22 weeks, viable fetus
JMedLife-08-115-g007.jpg
PMC4564026_02_JMedLife-08-115-g007.jpg
F7
The connection area between the two also displayed an omphalocele (Fig. 4-7).
PMC4564026_03
2D sonography-the insertion of the umbilical cord at the level of omphalocele to the viable fetus
JMedLife-08-115-g008.jpg
PMC4564026_03_JMedLife-08-115-g008.jpg
F8
The patient was regularly examined ultrasonographically (Fig. 8) and laboratory tests were within normal range.
PMC4564026_04
Asymmetric conjoined twins
JMedLife-08-115-g009.jpg
PMC4564026_04_JMedLife-08-115-g009.jpg
F9
The delivered fetus was a male of 3600 grams, length of 51cm, with an external twin parasite, acephalic, upper limbs present, gluteal region and external genital organs upright, attached to the epigastrium of the well-developed fetus connected through a 50-millimeter implantation area (Fig. 9a,Fig. 9b). 
Asymmetric conjoined twins
JMedLife-08-115-g0010.jpg
PMC4564026_04_JMedLife-08-115-g0010.jpg
F10