Fetus in Fetu: Is it a Baby Inside a baby?
- Journal of Pediatrics & Neonatal Care
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Susankar Kumar Mondal1*, Abu Bakar Akan2, Mridul Prasad Joshi3, Shamsul Huda3 and Mahabub Hossain3
Associate Professor, Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh - Abu Bakar Akan, 2Assistant Professor, Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh
- Mridul Prasad Joshi, Resident, Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh
- Shamsul Huda, Resident, Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh
- Mahabub Hossain, Resident, Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh
Abstract
Fetus in Fetu is a rare congenital anomaly in which monozygotic twin is incorporated into its sibling during development. It is a lesser known disease even in the medical community as less than 200 cases have been reported. Some theories have been proposed regarding the pathogenesis of fetus in fetu and clinical manifestations of fetus in fetu vary. It should be differentiated from teratoma which has no axial arrangement and has got definite malignant potential. Herein, we describe a 5month old boy with an abdominal mass. After ultrasound and CT scan, provisional diagnosis of Fetus in fetu causing bilateral moderate hydroureteronephrosis was made. Elective laparotomy revealed a well encapsulated retroperitoneal mass which was successfully excised. Complete excision of fetus in fetu is curative. The rarity of this case is the reason why we deem our case reporting.
Keywords
Abdominal mass, Amniotic sac, Fetus in fetu, Teratoma, Twin, blastocyst, Surgery, Macroscopic Examination, Postoperative specimen
