PMC6126085_01
PMC6126085_02
(a) Conventional radiology and (b, c) macroscopic presentation upon autopsy. Note the nonpervious anus depicted with an arrow on (c).
CRIPE2018-9349606.001.jpg
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fig1
It had well-developed lower extremities and pelvis as well as upper extremities with a cleft hand syndrome and syndactyly seen in the radiography (Figure 1).
Three-dimensional CT reconstruction of presurgical presentation. Note the ventral vessel deriving from the aortic arch pulling into the parasite and the retrograde proceeding vessel into the autosite via the omphalocele as in the falciform ligament.
CRIPE2018-9349606.002.jpg
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fig2
The vascular connection to the autosite was through a double aortic arch and a prominent artery starting from it, similar to an A. thoracica int., which centrally tangles the condensed shoulder girdle and pulls at the posterior trunk wall (resembling the aorta) into the pelvis of the parasite, where it forms the iliac bifurcation (Figure 2).
Preterm MRI depicting a ventral corpus to the autosite on the right in sagittal view (a). Same situation in cross-sectional plane (b).
CRIPE2018-9349606.003.jpg
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fig3
But a single kidney and a urinary bladder filled with urine indicate functional urine transport (Figure 3).
PMC6126085_03
(a) Conventional radiology and (b, c) macroscopic presentation upon autopsy. Note the nonpervious anus depicted with an arrow on (c).
CRIPE2018-9349606.001.jpg
PMC6126085_03_CRIPE2018-9349606.001.jpg
fig1
It had well-developed lower extremities and pelvis as well as upper extremities with a cleft hand syndrome and syndactyly seen in the radiography (Figure 1).
Three-dimensional CT reconstruction of presurgical presentation. Note the ventral vessel deriving from the aortic arch pulling into the parasite and the retrograde proceeding vessel into the autosite via the omphalocele as in the falciform ligament.
CRIPE2018-9349606.002.jpg
PMC6126085_03_CRIPE2018-9349606.002.jpg
fig2
The vascular connection to the autosite was through a double aortic arch and a prominent artery starting from it, similar to an A. thoracica int., which centrally tangles the condensed shoulder girdle and pulls at the posterior trunk wall (resembling the aorta) into the pelvis of the parasite, where it forms the iliac bifurcation (Figure 2).
(a, b) Immunohistochemical staining of intestinal tissue showing immunoreactivity for CK20 (a) and CK7 (b) showing intestinal expression pattern. (c) The picture on the right depicts nervous tissue in the body immunoreactive for S100.
CRIPE2018-9349606.004.jpg
PMC6126085_03_CRIPE2018-9349606.004.jpg
fig4
However, we could clearly detect nerve plexus at the upper extremities in the location of the plexus brachialis as well as peripheral nerves within the whole body (positive for S100 in immunohistochemical staining, Figure 4). In the pelvis, we found a rudimentary rectum with a nonpervious anus (with mucosa immunohistochemically positive for CK7 and CK20, Figure 4), a kidney, ureter, urinary bladder, and a blind-ending urethra.