Prenatal Diagnosis of Fetus in Fetu with a Well Formed Skull: A Rare Case Report
Author(s)
Kishor Taori,
Suresh Dhakate,
Ramesh Parate,
Jawhar Rathod,
Amit Disawal,
Anand Hatgaonkar,
Rahul Jain,
Akshat Kasat,
Dinesh Kumar
ABSTRACT
Fetus in fetu is an extremely rare condition embryologically arising in monozygotic diamniotic twins with an incidence of 1:500,000 births. To the best of our knowledge, number of reported cases should not be more than 100 with majority of cases presenting in post natal life with only 5 cases detected prenatally. We are presenting a case diagnosed at 24 weeks of gestation on ultrasound with presence of well formed skull, facial skeleton and bony orbit.
Cite this paper
Taori, K. , Dhakate, S. , Parate, R. , Rathod, J. , Disawal, A. , Hatgaonkar, A. , Jain, R. , Kasat, A. and Kumar, D. (2014) Prenatal Diagnosis of Fetus in Fetu with a Well Formed Skull: A Rare Case Report. Open Journal of Obstetrics and Gynecology, 4, 710-715. doi: 10.4236/ojog.2014.412099.
Taori, K. , Dhakate, S. , Parate, R. , Rathod, J. , Disawal, A. , Hatgaonkar, A. , Jain, R. , Kasat, A. and Kumar, D. (2014) Prenatal Diagnosis of Fetus in Fetu with a Well Formed Skull: A Rare Case Report. Open Journal of Obstetrics and Gynecology, 4, 710-715. doi: 10.4236/ojog.2014.412099.
References
[1] Lee, E. (1965) Fetus in Fetu. Archives of Disease in Childhood, 40, 689-693.
http://dx.doi.org/10.1136/adc.40.214.689 [2] Willis, R.A. (1962) The Borderland of Embryology and Pathology. 2nd Edition, Botterworths, London, 442. [3] Kajbafzadeh, A.M. and Baharnoori, M. (2004) Fetus in Fetu. Canadian Journal of Urology, 13, 3277-3278. [4] Hoeffel, C., Khoang, Q., Tran, T. and Fornes, P. (2000) Fetus in Fetu: A Case Report and Literature Review. Pediatrics, 105, 1335-1344. http://dx.doi.org/10.1542/peds.105.6.1335 [5] Dagradi, A.D., Mangiate, G.L., Serio, G.F., Muajo, F.G. and Menestrina, F.V. (1992) Fetus in Fetu Removal in 47 Years Old Man. Surgery, 112, 598-602. [6] Hing, A., Corteville, J., Fogia, R.P., Bliss Jr., D.P., Donis-Keller, H. and Dowton, S.B. (1993) Fetus in Fetu: Molecular Analysis of a Fetiform Mass. American Journal of Medical Genetics, 47, 333-341. http://dx.doi.org/10.1002/ajmg.1320470308 [7] Gurses, N. and Bernay, F. (1990) Twin Fetuses in Fetu and Review of the Literature. Zeitschrift fur kinderchirurgie, 45, 319-322. [8] Gonzalez-Crussi, F. (1982) Extragonadal Teratomas (Atlas of Tumor Pathology). 2nd Edition, Armed Forces Institute of Pathology, Washington DC. [9] de Lagausie, P., de Napoli-Cocci, S., Stempfle, N., Truong, Q.D., Vuillard, E., Ferkadji, L., et al. (1997) Highly Differentiated Teratoma and Fetus in Fetu: A Single Pathology? Journal of Pediatric Surgery, 32, 115-116. http://dx.doi.org/10.1016/S0022-3468(97)90112-3 [10] Knox, A.J. and Webb, A.J. (1975) The Clinical Features and Treatment of Fetus in Fetu: Two Case Reports and a Review of the Literature. Journal of Pediatric Surgery, 10, 483-489.
http://dx.doi.org/10.1016/0022-3468(75)90188-8 [11] Kim, O.H. and Shinn, K.S. (1993) Postnatal Growth of Fetus in Fetu. Pediatric Radiology, 23, 411-412. http://dx.doi.org/10.1007/BF02011978 [12] Federici, S., Ceccarelli, P.L., Ferrari, M., Galli, G., Zanetti, G. and Domino, R. (1991) Fetus-in-Fetu: Report of Three Cases and Review of the Literature. Pediatric Surgery International, 6, 60-65. http://dx.doi.org/10.1007/BF00174889 [13] Eng, H.L., Chuang, J.H., Lee, T.Y. and Chen, W.J. (1989) Fetus in Fetu: A Case Report and Review of the Literature. Journal of Pediatric Surgery, 24, 296-299. http://dx.doi.org/10.1016/S0022-3468(89)80017-X [14] Hing, A., Corteville, P., Ferrari, M., Galli, G., Zanetti, G. and Domini, R. (1993) Fetus in Fetu: Molecular Analysis of a Fetiform Mass. American Journal of Medical Genetics, 47, 333-341.
http://dx.doi.org/10.1002/ajmg.1320470308 [15] Baldwin, V. (1991) Pathology of Multiple Pregnancy. In: The Textbook of Fetal and Prenatal Pathology, Blackwell Science, Boston, 409p. [16] Mohta, A., Shrivasatava, U.K., Sodhi, P. and Upret, L. (2003) Fetus-in Fetu. Pediatric Surgery International, 19, 499-500. http://dx.doi.org/10.1007/s00383-002-0943-8 [17] Alpers, C.E. and Harrison, M.R. (1985) Fetus in Fetu Associated with an Undescended Testis. Fetal & Pediatric Pathology, 4, 37-46. http://dx.doi.org/10.3109/15513818509025901
[1] Lee, E. (1965) Fetus in Fetu. Archives of Disease in Childhood, 40, 689-693.
http://dx.doi.org/10.1136/adc.40.214.689 [2] Willis, R.A. (1962) The Borderland of Embryology and Pathology. 2nd Edition, Botterworths, London, 442. [3] Kajbafzadeh, A.M. and Baharnoori, M. (2004) Fetus in Fetu. Canadian Journal of Urology, 13, 3277-3278. [4] Hoeffel, C., Khoang, Q., Tran, T. and Fornes, P. (2000) Fetus in Fetu: A Case Report and Literature Review. Pediatrics, 105, 1335-1344. http://dx.doi.org/10.1542/peds.105.6.1335 [5] Dagradi, A.D., Mangiate, G.L., Serio, G.F., Muajo, F.G. and Menestrina, F.V. (1992) Fetus in Fetu Removal in 47 Years Old Man. Surgery, 112, 598-602. [6] Hing, A., Corteville, J., Fogia, R.P., Bliss Jr., D.P., Donis-Keller, H. and Dowton, S.B. (1993) Fetus in Fetu: Molecular Analysis of a Fetiform Mass. American Journal of Medical Genetics, 47, 333-341. http://dx.doi.org/10.1002/ajmg.1320470308 [7] Gurses, N. and Bernay, F. (1990) Twin Fetuses in Fetu and Review of the Literature. Zeitschrift fur kinderchirurgie, 45, 319-322. [8] Gonzalez-Crussi, F. (1982) Extragonadal Teratomas (Atlas of Tumor Pathology). 2nd Edition, Armed Forces Institute of Pathology, Washington DC. [9] de Lagausie, P., de Napoli-Cocci, S., Stempfle, N., Truong, Q.D., Vuillard, E., Ferkadji, L., et al. (1997) Highly Differentiated Teratoma and Fetus in Fetu: A Single Pathology? Journal of Pediatric Surgery, 32, 115-116. http://dx.doi.org/10.1016/S0022-3468(97)90112-3 [10] Knox, A.J. and Webb, A.J. (1975) The Clinical Features and Treatment of Fetus in Fetu: Two Case Reports and a Review of the Literature. Journal of Pediatric Surgery, 10, 483-489.
http://dx.doi.org/10.1016/0022-3468(75)90188-8 [11] Kim, O.H. and Shinn, K.S. (1993) Postnatal Growth of Fetus in Fetu. Pediatric Radiology, 23, 411-412. http://dx.doi.org/10.1007/BF02011978 [12] Federici, S., Ceccarelli, P.L., Ferrari, M., Galli, G., Zanetti, G. and Domino, R. (1991) Fetus-in-Fetu: Report of Three Cases and Review of the Literature. Pediatric Surgery International, 6, 60-65. http://dx.doi.org/10.1007/BF00174889 [13] Eng, H.L., Chuang, J.H., Lee, T.Y. and Chen, W.J. (1989) Fetus in Fetu: A Case Report and Review of the Literature. Journal of Pediatric Surgery, 24, 296-299. http://dx.doi.org/10.1016/S0022-3468(89)80017-X [14] Hing, A., Corteville, P., Ferrari, M., Galli, G., Zanetti, G. and Domini, R. (1993) Fetus in Fetu: Molecular Analysis of a Fetiform Mass. American Journal of Medical Genetics, 47, 333-341.
http://dx.doi.org/10.1002/ajmg.1320470308 [15] Baldwin, V. (1991) Pathology of Multiple Pregnancy. In: The Textbook of Fetal and Prenatal Pathology, Blackwell Science, Boston, 409p. [16] Mohta, A., Shrivasatava, U.K., Sodhi, P. and Upret, L. (2003) Fetus-in Fetu. Pediatric Surgery International, 19, 499-500. http://dx.doi.org/10.1007/s00383-002-0943-8 [17] Alpers, C.E. and Harrison, M.R. (1985) Fetus in Fetu Associated with an Undescended Testis. Fetal & Pediatric Pathology, 4, 37-46. http://dx.doi.org/10.3109/15513818509025901