Boziłow Władimir, Malinowski Witold, Klempous Zbigniew, Jeka Sławomir
Katedra i Zakład Histologii i Embriologii AM w Bydgoszczy oraz Zaklad Antropologii Fizycznej.
Ginekol Pol. 2005 Mar;76(3):228-33.
Fetus in fetu is a very rare abnormality (estimated incidences: 1 in 500,000 deliveries), and is secondary to a pathological diamniotic monochorionic pregnancy. It consists of a malformed parasitic twin that is found within the body of its sibling. Hardly 70 cases have been reported in the literature since its first description about 1800. Its discovery is usually postnatal. We present two boys: two and half years and eleven days old newborn presented a mass in the retroperitoneum in the left upper abdominal quadrant. There were removed by surgery and contained two independent fetuses. Dissection and radiological study of the fetuses showed an axial skeleton and long bones. It corresponds to the generally recognized diagnostic criteria of fetus in fetu. The embryology, operative procedure, hypothesis and pathology of this condition are discussed and the literature briefly reviewed. The difference between teratomas and fetus in fetu is point.
胎中胎是一种非常罕见的异常情况(估计发病率:每50万次分娩中有1例),继发于病理性双羊膜单绒毛膜妊娠。它由一个畸形的寄生双胞胎组成,位于其同胞体内。自1800年首次描述以来,文献中报道的病例不足70例。其发现通常在出生后。我们报告两个男孩:一个两岁半和一个十一天大的新生儿左上腹象限腹膜后出现肿块。通过手术切除,肿块内包含两个独立的胎儿。对胎儿的解剖和放射学研究显示有轴骨骼和长骨。这符合普遍认可的胎中胎诊断标准。本文讨论了这种情况的胚胎学、手术过程、假说和病理学,并简要回顾了相关文献。重点阐述了畸胎瘤与胎中胎的区别。