Morphology of a two-headed piglet

Symmetrical parapagus diprosopus: A comparative, computed tomographic, and pathoanatomical study of a new case in domestic pig

BACKGROUND

Parapagus diprosopus are conjoined twins characterized by craniofacial duplication and only one body, representing one of the rarest types of these twins. Their occurrence has been recorded in different species of vertebrates, including humans, but few cases have been studied in domestic pigs.

CASE

A pair of conjoined twin pigs was studied using x-rays, computed tomography, and necropsy. The abnormalities found were compared with those of the rare swine cases presented in the literature as well as with other species, and the different etiopathogenetic possibilities were addressed. The degree of duplication of the head bones decreased caudally, as did that of the structures of the central nervous system. In the two oral cavities, there was a complete cleft palate. All the cervical vertebrae and thoracic vertebrae up to T3 were partially duplicated. The heart and great vessels were normal, as were the other thoracic and abdominal organs.

CONCLUSIONS

The conjoined twin pigs of this study are a case of parapagus diprosopus tetraophthalmus triotus, presenting the same pattern of abnormalities of human diprosopus and that of other species. The scarcity of detailed studies on craniofacial duplication in pigs and the lack of a definitive explanation on the etiology and pathogenesis of conjoined twins shows the need for further research and the publication of more cases.

Overview of Swine Congenital Malformations Associated with Abnormal Twinning

A review of congenital malformations in swine relating to abnormal twinning was carried out. The aim was to describe and estimate these defects. Among the recorded twins, the most common defect was the syncephalus thoracopagus or cephalothoracopagus. A couple of dicephali and diprosopus congenital anomalies were also registered. At last, some cases of thoraco-omphalopagus piglets were surveyed. There was also a report of an acardiac twin (hemiacardius acephalus) and a case of a conjoined parasitic twin. The pathogenetic mechanisms of this condition, frequently reported in veterinary practice, are discussed. The importance of embryonic imperfect twinning is commonly associated with dystocia.

Symmetric undivided diplopagus with cardiac malformation in a Japanese wild boar (Sus scrofa leucomystax)

A captured Japanese wild boar (Sus scrofa leucomystax) fetus was dicephalic. The fetus had two heads, but one body from the cranial neck region. Computed tomography imaging revealed that the two crania merged at the occipital bone, and the vertebral bodies between the atlas and the seventh thoracic vertebra were deformed. The fetus was found to have two tongues and laryngopharynges, but its esophagus and trachea were not duplicated. Each head contained a cerebrum and cerebellum, but the brains merged at the obex of the medulla oblongata, and the cervical spinal cord had duplicated ventral clefts. The heart was composed of three atria and four ventricles. This is the first report of a dicephalus with cardiac malformation in a wild boar.

Parapagus conjoined twin Holstein calf

BACKGROUND

Conjoined twins with a doubling of all cranial structures, having two vertebral columns along their entire body length yet with a single pelvis, have not been described in the literature. The cause of conjoined twinning is incompletely understood; however, two main theories (fission and fusion) have been proposed and disputed.

METHODS

A dicephalus, tetrabrachius (parapagus) conjoined twin Holstein heifer calf was studied.

RESULTS

Two normal heads were present on two necks. The twins were fused in the thoracic region. There were four forelimbs and an abnormal orientation of ribs. Two separate vertebral columns along the length of the animal ended with two tails. There was a single pelvis, and only two hindlimbs were present. The musculature of the medial forelimbs was complete but abnormally positioned. Some medial structures, caudal to the thorax, failed to develop in these twins. There were two hearts, each one supplying one half of the body. The cranial vasculature was doubled and normal. Caudally there were two aortas, each supplying the respective half of the twin. The right caudal vena cava drained all caudal parts of the body while the left caudal vena cava drained only the liver. There were two sets of lungs. Each twin had a separate esophagus that entered a separate stomach. The right abomasum (fourth stomach chamber) was herniated through the diaphragm into the thoracic cavity. The two duodenums from each stomach fused distal to the pyloric sphincters. Caudal to this point of fusion, all structures of the digestive and urogenital systems were single. The calf had a single anus and vulva.

CONCLUSIONS

The anatomical findings in this twin suggest a fission event followed by fusion of parallel embryonic axes.

Conjoined twin piglets with duplicated cranial and caudal axes

BACKGROUND

Twins with doubling of the cranial and caudal poles, yet having a single thorax, are rare.

METHODS

One set of diprosopus, dipygus porcine conjoined twins was studied.

RESULTS

In addition to the conjoining anomaly, these twins also exhibited ambiguous internal reproductive features. The twins had two snouts, three eyes, a single thorax, and were duplicated from the umbilicus caudally. Radiography indicated a single vertebral column in the cervical region. The vertebral columns were separate caudally from this point. There was a total of six limbs--one pair of forelimbs and two pairs of hindlimbs. Many medial structures failed to develop in these twins. Medial cranial nerves V-XII were absent or displaced although apparently normal laterally. The medial palates were present but shortened, whereas the medial mandibular rami had folded back on themselves rostrally to form a midline mass between the two chins. Each twin had only one lateral kidney and one lateral testis. Medial scrotal sacs were present but devoid of a testis. There was a midline, "uterine"-like structure which crossed between the twins. However, histological analysis of this structure revealed it to be dysplastic testicular tissue.

CONCLUSIONS

The relationship between the abnormal reproductive features in these twins and the conjoining is unclear. The anatomy of these twins, in addition to the literature reviewed, illustrates the internal anatomical heterogeneity of grossly similar conjoined twins. A review of the literature also suggests that conjoined twinning may be more common in swine than was previously suspected.

Congenital duplication

Almost all types of congenital duplication described in humans have been observed in food animals, and a number are illustrated in this article. Congenital duplications, especially conjoined symmetric twins, are relatively common defects in cattle. The incidence is less in sheep and in hogs, and they appear to be rare in goats. In cattle, cranial duplication is predominant; this is in contrast to caudal duplication in sheep and hogs. These differences among species are interesting and may explain why congenital duplications appear more frequently in cattle than in other domestic animals. Based on the number of eyes and ears, classification criteria for cranial duplications are proposed. The cause of congenital duplications is not known.

Morphology of a dicephalic cat

A detailed anatomical study of a dicephalic iniodymic monosomic cat in conjunction with the morphogenetical implications of the observed anomalies is presented. The animal exhibited two heads joined at the level of an anomalous medial exoccipital bone. Two brains and two foramina magna were present. The vertebral column was single but the cranial cervical vertebrae (C2 to C5) had doubled bodies. Cervical rachischisis with myeloschisis were associated defects. Two nasopharyngeal and oropharyngeal cavities converged caudally into a single laryngopharynx. The esophagus, larynx and trachea were single. Duplication of the tongue and hyoid apparatus was present. Palatoschisis affected both oral cavities. Hypoplasia of the anatomical structures in the medial aspects of both heads was observed. Microphthalmia was also observed in both medial eyes. Comparative aspects of the morphology, causative agents, and mechanisms and anomalous morphogenesis of anterior duplications are reviewed and discussed.

Vascular anatomy of a dicephalic cat

The arterial and venous systems of the neck and heads of a dicephalic iniodymic monosomic cat are described. In the arterial system, an anomalous lingual branch of the right external carotid formed a large subhyoid arch, extending to the midline between both heads, giving off branches supplying the medial aspect of both heads and terminating in two medial internal carotid arteries each for the right or left head. This vessel was considered as an anomalous supernumerary common carotid artery. In the venous system, each lingual branch of linguofacial veins united and formed an anomalous venous arch. It received rostrally a long midline vein running between both heads and connecting with the medial internal jugular system. This vein received tributaries from the left and right heads and was considered as a supernumerary jugular vein. From these observations, and those of others in the literature, it can tentatively be suggested that, in congenital cephalic duplications in domestic mammals, the arterial blood supply for the medial aspect of both heads tends to come from the lingual branch of the external carotid artery, with an unexplained prevailing contribution of the right external carotid system. Two different venous patterns have been observed. In animal especies exhibiting a hyoid venous arch, such as carnivores, a midline supernumerary external jugular vein draining at the anomalous junction between lingual veins of both heads is formed, whilst in animals lacking a constant hyoid venous arch, such as ruminants, an asymmetrical supernumerary external jugular vein draining into the right "normal" external jugular vein has been repeatedly described.

Two-headed, two-necked conjoined twin calf with partial duplication of thoracoabdominal structures: role of blastocyst hatching

Gross anatomical analysis of a derodidymic monosomic stillborn male calf from an embryo transfer recipient was carried out. Two normal heads were present on two necks which were fused at the shoulders. Although the ribs were abnormal in shape and number, there was one trunk and four legs. The vertebrae were double and partially fused from the thoracic region to the sacrum, which was singular and normal. In the thoracic region there was a single vertebral canal that contained two incompletely fused spinal cords which shared common meninges. In the lumbar region there was a spina bifida. The medial neck musculature was variously fused. Two esophagi entered one enlarged rumen and the liver and gallbladder had extra lobes. Two sets of lungs occupied three pleural cavities and also part of the pericardial cavity. Two hearts were joined by a common cavernous venous sinous. The vasculature cranial to the heart reflected the doubling. The vasculature caudally was singular. The calf was uniscrotal and ipsilaterally cryptorchid. Our results are consistent with the hypothesis that atypical "hatching," that is, emergence of the blastocyst from the zona pellucida, may cause anomalous twinning.

Clinical and anatomical observations of a two-headed lamb

The clinical and anatomical features of a live-born diprosopic lamb are described. There are no complete anatomical analyses of two-faced lambs in the literature despite the frequency of conjoined twinning in sheep. The lamb had two heads fused in the occipital region. Each head had two eyes. The pinnae of the medial ears were fused. Caudal to the neck the lamb appeared grossly normal. The lamb was unable to raise its heads or stand. Both heads showed synchronous sucking motions and cranial reflexes were present. Nystagmus, strabismus, and limb incoordination were present. The respiratory and heart rates were elevated. There was a grade IV murmur over the left heart base and a palpable thrill on the left side. Each head possessed a normal nasopharynx, oropharynx, and tongue. There was a singular laryngopharnyx and esophagus although the hyoid apparatus was partially duplicated. The cranial and cervical musculature reflected the head duplications. The aortic trunk emerged from the right ventricle just to the right of the conus arteriosus. A ventricular septal defect, patent foramen ovale, and ductus arteriosus were present along with malformed atrioventricular valves. Brainstem fusion began at the cranial medulla oblongata between cranial nerves IX and XII. The cerebella were separate but small. The ventromedial structures from each medulla oblongata were compressed into an extraneous midline remnant of tissue which extended caudally to the level of T2. The clinical signs therefore reflected the anatomical anomalies. A possible etiology for this diprosopus might be the presence early in development of an excessively large block of chordamesoderm. This would allow for the formation of two head folds and hence two "heads."

A possible mechanism of partial twinning in a calf

A two-headed calf had doubled heads and necks, externally normal forelimbs and thorax, incompletely doubled hearts and lungs, and a persistent sinus venosus, with abnormal pulmonary and systemic circulation. Study of the specimen indicated that partial twinning involved the development of the notochord as an anteriorly branched structure, with retention of the single condition posteriorly. It is proposed that anteroposterior compression of the embryonic disk could have induced the formation of double notochords. The way in which compression was produced is suggested.