{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T04:07:09Z","timestamp":1778990829614,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Rachipagus parasitic twinning is an exceptionally rare clinical entity resulting from an asymmetric monozygotic twinning process, characterized by a dorsally co\u2010joined partially formed twin. Co\u2010 existence of this condition with neural tube defect is uncommon, yet clinically significant. In this paper, we report a neonate who presented with a lumbosacral limb\u2010like mass and an epithelialized myelomeningocele. Clinical examination showed reduced lower\u2010limb movements and diminished anal reflex. Investigation with MRI demonstrated posterior vertebral dysraphism, tethered cord, and an externally attached mass containing partially formed osseous elements without visceral organ sharing. Multidisciplinary team planning for complete excision of the parasitic mass with simultaneous myelomeningocele repair and tethered cord management was undertaken at our center, followed by referral to a specialized neurosurgical facility; however, detailed data regarding the management of the neonate after refferal to neurosurgical center could not be obitained due to lack of unified electronic recording system and fragemented refferal pathways and systemic barriers that limited the patient to continue follow up. This case highlights a rare finding that is of significance to clinical and scientific learning, but also the challenges of delivering and sustaining specialized surgical care in low\u2010resource settings, as well as follow\u2010 up and documentation of outcomes.<\/jats:p>","DOI":"10.1002\/ccr3.72673","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T04:02:51Z","timestamp":1778558571000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rachipagus Parasitic Twin With Epithelialized Myelomeningocele in a Rural Ethiopian Neonate: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0764-960X","authenticated-orcid":false,"given":"Biruk","family":"Lealem","sequence":"first","affiliation":[{"name":"Department of Medicine St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elleni","family":"Tadesse","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethelehem","family":"Engidawork","sequence":"additional","affiliation":[{"name":"Department of Medicine St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2022.07.079"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/2006-8808.63720"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2024.08.139"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.21608\/esj.2016.4013"},{"key":"e_1_2_14_6_1","article-title":"A Case of Thoraco\u2010Omphalopagus Conjoined Twins: Clinical Imaging and Anatomical Classification","volume":"15","author":"Maryam A.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.30918\/IRJMMS.63.18.030"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.51.736"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.inat.2020.101049"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/ajps.ajps_78_21"},{"issue":"2","key":"e_1_2_14_11_1","first-page":"54","article-title":"Parasitic Rachipagus Conjoined Twins: Surgical Management and Follow\u2010Up of a Case in Kenya","volume":"11","author":"Oduor P. 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