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EP21.09: Epigastric heteropagus: a rare variant of conjoined twins

Twin B was attached to Twin A between the diaphragm and cord insertion. It was a circular mass with the only parts identified were a portion of the skull, holoventricle, portions of the spines, and a doublechambered heart. Twin A’s fetal 2D echo was unremarkable, and Twin B’s heart had only 2 chambers and 1 great vessel. Conclusion The twins were delivered at 30 weeks via Classical Cesarean Section, then surgically separated. Meticulous antenatal care, aided by sonography, and multidisciplinary management were essential to the success of this case. Figure 1. The point of conjugation of the twins. They shared a liver and Twin B’s heart protruded out into Twin A.