The omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) complex is
a consistent and recognizable pattern of midline abdominal and pelvic defe
cts. It is rare, affecting 1 in 200,000 to 400,000 pregnancies and is even
rarer in twin gestations. This is arm autopsy study of OEIS complex in mono
zygotic twins after pregnancy termination at 20 weeks of gestation. Unremar
kable family history but concordance of monozygotic twins for the defects m
ay support the theory that early malformation complexes, e.g,, OEIS, and mo
nozygotic twinning are manifestations of the same disturbance of early blas
togenesis. (C) 1999 Wiley-Liss, Inc.