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Fetus-in-fetu presenting as a symptomatic mass in an infant: a case report

  • Authors Details :  
  • Sandip Kumar Rahul,  
  • Rupesh Keshri,  
  • Digamber Chaubey,  
  • Md Asjad Karim Bakhteyar

Journal title : Yemen Journal of Medicine

Publisher : Mansa STM Publishers

Online ISSN : 2583-4614

Page Number : 468-470

Journal volume : 04

Journal issue : 02

23 Views Case Report

Fetus-in-fetu represents an extremely unusual condition where a malformed parasitized twin with an organized vertebral column is present within the body of its host, leading to a variety of symptoms due to its mass effect. Its pathogenesis and features differ from both teratoma and fetiform teratoma. Detailed radiological evaluation helps in the assessment of the local anatomy and in planning the surgical procedure. The clinical features of a 9-month-old female with progressive abdominal distension and feeding difficulties are described. A firm, non-tender leftsided abdominal mass on palpation was found to be a well-defined encapsulated retroperitoneal lesion with bony structures resembling a vertebral axis on abdominal sonography and computed tomography. Surgical excision revealed an encapsulated mass containing rudimentary limb buds, hair, and partially developed vertebral elements. Histopathology confirmed the diagnosis of fetus in fetu. The postoperative course was uneventful, and the patient remained asymptomatic on follow-up.

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DOI : https://doi.org/10.63475/yjm.v4i2.0188

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