A Rare Form of Heteropagus Twinning: Three-Armed Infant with Spinal Dysraphism

An ectopic or accessory limb attached to the back is an extremely rare and strange condition, and there are only a few documented cases in the worldwide literature. The first case was described by Jones and Larkin (1889). There are several theories regarding the origin of this condition. Asymmetric...

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Main Authors: Aynur Solak, Sonnaz Ergün, İpek Polat, Neslın Şahin, Berhan Genç
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2012/831649
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author Aynur Solak
Sonnaz Ergün
İpek Polat
Neslın Şahin
Berhan Genç
author_facet Aynur Solak
Sonnaz Ergün
İpek Polat
Neslın Şahin
Berhan Genç
author_sort Aynur Solak
collection DOAJ
description An ectopic or accessory limb attached to the back is an extremely rare and strange condition, and there are only a few documented cases in the worldwide literature. The first case was described by Jones and Larkin (1889). There are several theories regarding the origin of this condition. Asymmetric conjoined twinning which is located dorsally in the vertebral column (rachipagus) is the most probable diagnosis of our patient. Conjoined twinning is very rare and the incidence is 1 per 50 000 live births. Rachipagus is even rarer, with no more than 30 case reports so far (Chadha et al. (1993, 2006)). In this report, we present a patient who underwent successful surgical excision of a third arm attached to the back in the midline over the low-dorsal region. Differential diagnoses including teratoma and fetus in fetu are discussed.
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institution Kabale University
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language English
publishDate 2012-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-32f6f2a3dfab4cc39ca60fa5c5a015d42025-08-20T03:55:17ZengWileyCase Reports in Pediatrics2090-68032090-68112012-01-01201210.1155/2012/831649831649A Rare Form of Heteropagus Twinning: Three-Armed Infant with Spinal DysraphismAynur Solak0Sonnaz Ergün1İpek Polat2Neslın Şahin3Berhan Genç4Radiology Department, Sifa University, Izmir, TurkeyDepartment of Pediatrics, Sifa University, Izmir, TurkeyDepartment of Pediatrics, Dokuz Eylul University, Izmir, TurkeyRadiology Department, Sifa University, Izmir, TurkeyRadiology Department, Sifa University, Izmir, TurkeyAn ectopic or accessory limb attached to the back is an extremely rare and strange condition, and there are only a few documented cases in the worldwide literature. The first case was described by Jones and Larkin (1889). There are several theories regarding the origin of this condition. Asymmetric conjoined twinning which is located dorsally in the vertebral column (rachipagus) is the most probable diagnosis of our patient. Conjoined twinning is very rare and the incidence is 1 per 50 000 live births. Rachipagus is even rarer, with no more than 30 case reports so far (Chadha et al. (1993, 2006)). In this report, we present a patient who underwent successful surgical excision of a third arm attached to the back in the midline over the low-dorsal region. Differential diagnoses including teratoma and fetus in fetu are discussed.http://dx.doi.org/10.1155/2012/831649
spellingShingle Aynur Solak
Sonnaz Ergün
İpek Polat
Neslın Şahin
Berhan Genç
A Rare Form of Heteropagus Twinning: Three-Armed Infant with Spinal Dysraphism
Case Reports in Pediatrics
title A Rare Form of Heteropagus Twinning: Three-Armed Infant with Spinal Dysraphism
title_full A Rare Form of Heteropagus Twinning: Three-Armed Infant with Spinal Dysraphism
title_fullStr A Rare Form of Heteropagus Twinning: Three-Armed Infant with Spinal Dysraphism
title_full_unstemmed A Rare Form of Heteropagus Twinning: Three-Armed Infant with Spinal Dysraphism
title_short A Rare Form of Heteropagus Twinning: Three-Armed Infant with Spinal Dysraphism
title_sort rare form of heteropagus twinning three armed infant with spinal dysraphism
url http://dx.doi.org/10.1155/2012/831649
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