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. 2023 Nov 10;13(22):3427. doi: 10.3390/diagnostics13223427

Table 1.

Discordant anomalies in lateral, ventral and caudal conjunction patterns.

Type of Twins with Discordances Retrieved from the Literature Amount Literature
Laterally united twins
Parapagus dicephalus with discordant anencephaly 7 [9,14,15,18,19,20,21]
Parapagus dicephalus with discordant cleft lip/palate 1 [22]
Parapagus dicephalus with discordant holoprosencephaly 2 [23,24] Figure 4D
Parapagus dicephalus with discordant polydactyly 1 [25]
Parapagus diprosopus with discordant synophthalmia/proboscis 1 [26]
Parapagus diprosopus with discordant cebocephaly 1 [25]
Parapagus diprosopus with discordant anophthalmia and cleft lip palate 1 [27]
Parapagus diprosopus with discordant cyclopia 1 [28]
Parapagus diprosopus with discordant cleft lip 1 [29]
Parapagus diprosopus with discordant polydactyly 1 [30]
Ventrally united twins
Thoracoileopagus with discordant cleft lip/palate 9 [8,13,31,32,33,34,35,36,37]
Thoracoileopagus with discordant scoliosis and vertebral anomalies 1 [38]
Thoracoileopagus with discordant anencephaly 1 [39]
Thoracoileopagus with multiple discordances in both twins * 1 [10]
Thoracoileopagus with multiple discordances in both twins * 1 [40]
Thoracoileopagus with discordant Treacher Collins-like features 1 [41]
Thoracoileopagus with multiple discordances * 1 [25]
Thoracoileopagus with discordant sirenomelia 1 [23]
Thoracoileopagus with discordant anal/cloacal malformations 3 [35,42,43]
Thoracoileopagus with discordant cloacal exstrophy 1 [25]
Cephalothoracoileopagus with discordant OEIS-like malformations 7 [3,8,25,44,45,46,47] (Figure 7)
Cephalothoracoileopagus with discordant polydactyly/syndactyly 3 [25,45,46]
Cephalothoracoileopagus with phenotypically discordant sex but genotypically female 1 [48]
Caudally united twins
Ileoischiopagus with discordant hydrocephaly 1 [49]
Ileoischiopagus with discordant microcephaly 1 [50]
Ileoischiopagus with discordant anencephaly 1 [51]
Ileoischiopagus with discordant meningocele 1 [52]
Ileoischiopagus with discordant cleft lip and palate 2 [49,50]
Ileoischiopagus with discordant pseudohermaphroditism, gastroschisis and anencephaly 1 [53]
Ileoischiopagus with multiple discordances * 1 [54]
Ileoischiopagus with discordant hygroma colli and Down syndrome-like features 1 [25]
Ileoischiopagus with discordant Pierre Robin syndrome-like features 1 [55]
Total found twins with discordances from literature 58
Novel cases of Twins with Discordances Retrieved from Museal Surveys Amount Location
Laterally united twins
Parapagus dicephalus with discordant anencephaly 2 1 from Berliner Medizinhistorisches Museum der Charité (Figure 4A) and 1 from Narrenturm
Parapagus dicephalus with discordant cleft lip/palate 1 Narrenturm (Figure 4B)
Parapagus dicephalus with discordant transverse limb defects 1 Narrenturm (Figure 4C)
Ventrally united twins
Thoracoileiopagus with discordant celft lip/palate 3 2 from Narrenturm (Figure 5A,B) and 1 from Collections d’anatomie pathologique Dupuytren (Figure 5C)
Thoracoileiopagus with discordant sirenomelia 1 Narrenturm (Figure 5D)
Thoracoileopagus with discordant anal atresia, micromelia and polydactyly 1 Berliner Medizinhistorisches Museum der Charité (Figure 5E)
Prosopothoracoileopagus with discordant cleft lip/palate 1 Narrenturm (Figure 8A)
Cephalothoracoileopagus discordant for longitudinal limb deficiency 1 Collections d’anatomie pathologique Dupuytren (Figure 8B)
Caudally united twins
None
Total found twins with discordances from museal collections 11

* See text and original reference for all details.