Fetus in fetu: rare Indian case of infancy
DOI:
https://doi.org/10.18203/2320-6012.ijrms20234014Keywords:
Fetus in fetu, Infant, TeratomaAbstract
Fetus in fetu (FIF) is an extremely rare condition in which malformed twin develop inside the body of living twin. It is most commonly found within the retroperitoneum. Currently, at least 200 cases have been reported across the globe, yet very few instances seen in India. We describe a case of five months old infant born via normal vaginal delivery. She had a firm palpable mass measuring 7×10×7 cm in the left hypochondriac epigastric region crossing midline. A preoperative diagnosis of FIF was made by using ultrasonography (USG) and computed tomography (CT). An exploratory laparotomy and excision of mass was performed successfully. The excised mass was proven to be FIF on the basis of gross and histopathological examination. Even though teratoma is a differential diagnosis, surgical removal is the most suitable treatment method.
Metrics
References
Hoeffel CC, Nguyen KQ, Phan HT, Truong NH, Nguyen TS, Tran TT, et al. Fetus in fetu: a case report and literature review. Pediatrics. 2000;105(6):1335-44.
Brand A, Alves MC, Saraiva C, Loío P, Goulão J, Malta J, et al. Fetus in fetu--diagnostic criteria and differential diagnosis--a case report and literature review. J Pediatr Surg. 2004;39(4):616-8.
Aoki K, Matsumoto Y, Hamazaki M, Sano M, Fukumoto K, Fukaya T, et al. MRI reveals fetus in fetu in the mediastinum. Pediatr Radiol. 2004;34(12):1017-9.
Senyüz OF, Rizalar R, Celayir S, Oz F. Fetus in fetu or giant epignathus protruding from the mouth. J Pediatr Surg. 1992;27(12):1493-5.
Botell ML, Bermúdez MR. Fetus in fetu. Rev Cubana Obstet Ginecol. 2013;39:63-8.
Daga BV, Chaudhary VA, Ingle AS, Dhamangaokar VB, Jadhav DP, Kulkarni PA. Double fetus-in-fetu: CT scan diagnosis in an adult. Indian J Radiol Imaging. 2009;19(3):216-8.
Kimmel DL, Moyer EK, Peale AR, Winborne LW, Gotwals JE. A cerebral tumor containing five human fetuses; a case of fetus in fetu. Anat Rec. 1950;106(2):141-65.
Kazia AP, Mathews SJ, Vasu PP, Krishnadas S. Fetus in fetu: A rare differential diagnosis for an antenatally identified ultrasonographic intra-abdominal mass. Indian Pediatr Case Rep. 2022;2:29-31.
Xiaowen M, Lingxi C, Song L, Shengbao P, Xiaohong Y, Xinghai Y: Rare fetus-in-fetu: experience from a large tertiary pediatric referral center. Front Pediatr. 2021;9:678479.
Hopkins KL, Dickson PK, Ball TI, Ricketts RR, O'Shea PA, Abramowsky CR. Fetus-in-fetu with malignant recurrence. J Pediatr Surg. 1997;32(10):1476-9.
Yaacob R, Zainal Mokhtar A, Abang Jamari DZH, Jaafar N. The entrapped twin: a case of fetus-in-fetu. BMJ Case Rep. 2017;bcr2017220801.
Kumar A, Paswan SS, Kumar B, Kumar P. Fetus in fetu in an adult woman. BMJ Case Rep. 2019;12:e230835.