Epigastric heteropagus and omphalocele

We report a case of epigastric heteropagus twins with omphalocele. The parasite had two lower limbs, genitalia with developed phallus and scrotum but absent testis and absent anus. An omphalocele was present just below the attachment of the parasitic twin. No kidney or ureter but only a bladder filled with urine seen during exploration. The parasite bowel was attached to an omphalocele sac prolapsing through it and there was connection to the autosite liver, which forms the main source of its blood supply. Surgery was performed in the neonatal period (Day 12 after birth) for both excision of epigastric heteropagus and omphalocele repair.