Fetus in fetu (FIF) is a rare anomaly of diamniotic monochorionic twins, in which a malformed fetus resides in its twin's body. This report shows a case with the prenatal diagnosis of FIF at Tu Du hospital. A 23-year-old woman, first-time pregnant, presented at the hospital with an abdominal mass in the fetus at 31 weeks and 4 days of gestation. The ultrasound showed an abnormal mass with the images of calcified features located in the left hypochondriac region and the kidney's upper pole. These images had shapes of skull, femur, spine and became more apparent as the fetus grew. Then, the patient was monitored and delivered at our hospital. The infant was moved to the Children's Hospital 1 and diagnosed with FIF by ultrasound. The surgical resection was performed at 12 days of birth.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850940PMC
http://dx.doi.org/10.1016/j.radcr.2021.01.028DOI Listing

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Article Synopsis
  • Fetus-in-fetu (FIF) is a very rare condition where a malformed twin develops inside another fetus, often without brain tissue, and can harm the host's organs.
  • A case of a four-month-old boy showed a pelvic mass indicating FIF, which was confirmed through surgery and pathology revealing skin, cartilage, and gastrointestinal tissues but no testicular tissue.
  • The report emphasizes the importance of prompt surgical removal for FIF and suggests ongoing monitoring post-surgery using ultrasound and tumor markers, as its causes remain unknown.
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