Craniopagus parasiticus
Craniopagus parasiticus is an extremely rare condition in which the two heads are joined directly together, and one twin (known as the autosite) has a functioning torso, while the other (known as the parasite) has only a vestigial torso. The parasite is supported by blood supplied from the autosite head. This threatens the life of the autosite by placing an additional burden on the autosites vital organs. Operations to separate the two heads have been performed in the hope of saving the autosite. Occurrence in animals
Polycephalic animals often make local news headlines when found. The most commonly observed two-headed animals are turtles and snakes. Other species with known two-headed occurrences include cattle, sheep, pigs, cats, dogs, and fish. In 1894, a two-headed partridge was reported in Boston, Massachusetts. It was notable as a dicephalic animal for surviving into adulthood with two perfect heads. Scientists have published in modern journals about dissecting such animals since at least the 1930s. A 1929 paper studied the anatomy of a two-headed kitten.Polycephalic animals, due to their rarity, are a subject of novelty. "We", a two-headed albino rat snake born in captivity in 2000 with both female and male genitalia, was scheduled to be auctioned on eBay with an expected price tag of $150,000 (£87,000), though their policy of not trading in live animals prevented the sale. On October 31, 2006, the World Aquarium announced that "We" was adopted by Nutra Pharma Corporation, a biotechnology company developing treatments using modified cobra venom and cobratoxin.
The pain associated with the inflamed appendages is located in the left and sometimes in the right lower abdominal quadrant. Diagnosis of epiploic appendagitis can be challenging due to its infrequency. Diagnosis
Epiploic appendagitis is more common in patients older than 40 years of age; however, it can occur at any age. "The reported ages range from 12 to 82 years. Men are slightly more affected than woman." Patients with epiploic appendicitis describe having a localized, strong, non-migratory sharp pain after eating. Patients generally have tender abdomens as a symptom. Symptoms do not include fever, vomiting, or leukocytosis. The pain is typically located in the right or left lower abdominal quadrant. When there is pain in the right lower quadrant, it can mimic appendicitis; however, it more commonly mimics diverticulitis, with pain present on the left side. Differential diagnosis
There are several conditions that mimic the symptoms of epiploic appendicitis. Omental infarction: Omental infarction is uncommon reason for acute abdomen. It is similar to acute appendicitis. The pain is of a few days duration centering in the right lower or upper quadrant. Imaging is required to obtain an accurate diagnosis due to the common misdiagnosis of omental infarction as appendicitis or cholecystitis. Omental infarction occurs commonly in pediatric patients approximately 15 percent of cases. The most frequent cause of non- torsion related omental infarction is due to trauma as well as thrombosis or the omental veins. The predisposition for omental infarction includes obesity, strenuous activity, congestive heart failure, digitalis administration, recent abdominal surgery and trauma.