Epigastric Heteropagus Conjoined Twins

: Heteropagus twins are an extremely rare form of asymmetrical conjoined monochorial, monoamniotic twins with an estimated incidence of less than one per one million live births. An often used synonym is parasitic twins. We report a very rare case of epigastric heteropagus twins with a large omphalocoele. The parasite had fully formed pelvis, lower limbs and upper limbs with male genitalia and it was attached to the autosite in the epigastrium.