tailieunhanh - Báo cáo y học: "Twin fetus in fetu in a child: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Twin fetus in fetu in a child: a case report and review of the literature | Gangopadhyay et al. Journal of Medical Case Reports 2010 4 96 http content 4 1 96 JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Twin fetus in fetu in a child a case report and review of the literature 1 2 1 1 1 1 Ajay N Gangopadhyay Arvind Srivastava Punit Srivastava Dinesh K Gupta Shiv P Sharma Vijayendra Kumar Abstract Introduction Fetus in fetu is an extremely rare condition wherein a malformed fetus is found in the abdomen of its twin. This entity is differentiated from teratoma by its embryological origin its unusual location in the retroperitoneal space and the presence of vertebral organization with limb buds and well-developed organ systems. The literature cites less than 100 cases worldwide of twin fetus in fetu. Case presentation A two-and-a-half-month-old Asian Indian baby boy had two malformed fetuses in his abdomen. The pre-operative diagnosis was made by performing an ultrasound and a 64-slice computer tomography scan of the baby s abdomen. Two fetoid-like masses were successfully excised from the retroperitoneal area of his abdomen. A macroscopic examination an X-ray of the specimen after operation and the histological features observed were suggestive of twin fetus in fetu. Conclusion Fetus in fetu is an extremely rare condition. Before any operation is carried out on a patient imaging studies should first be conducted to differentiate this condition from teratoma. Surgical excision is a curative procedure and a macroscopic examination of the sac should be done after twin or multiple fetus in fetu are excised. Introduction Fetus in fetu FIF is a rare condition associated with abnormal embryogenesis in a diamniotic monochorionic pregnancy wherein a vertebrate fetus is enclosed within the body of another normally developing fetus 1 . The FIF complex is characteristically composed of a fibrous membrane equivalent to the chorioamniotic complex that contains some fluids equivalent to the amniotic fluid and a fetus

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