HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by George, A T Articles by Surendran, N Search for Related Content PubMed PubMed Citation Articles by George, A T Articles by Surendran, N

Left over bowels: an unique complication in a surviving twin

Department Of General Surgery, Medical College Hospital, Thiruvananthapuram, Kerala State, India

Correspondence to:
Correspondence to:
Dr A T George
Department of General Surgery, Torbay District General Hospital, Torbay, Devon TQ2 7AA, UK; anilthomasgeorge{at}hotmail.com

Conjoint twins have always been a surgical challenge. The authors report an unusual finding in a surviving epigastric heteropagus twin. A 17 year old boy who underwent laparotomy for acute intestinal obstruction revealed a blind ending but complete duplication of the large bowel and an accessory liver in the falciform ligament, along with a separate gall bladder but with fused bile ducts.

The findings suggest that the duplicated bowel loop and the accessory liver were remnants of the incomplete parasite twin, assimilated into the body of the autosite, which remained asymptomatic for 17 years. This case is being reported because of the uniqueness of the finding.

Keywords: epigastric heteropagus; duplication bowel; conjoint twins