Bernal-Sprekelsen J C, Bernal-Cascales M
Hospital Clínico Universitario de Valencia, Spanien.
Z Kinderchir. 1990 Oct;45(5):317-8. doi: 10.1055/s-2008-1042610.
Fetus in fetu is an extremely uncommon cause of an abdominal mass in the neonate. A 6-week-old female was brought to our hospital because of an upper abdominal mass. A plain x-ray demonstrated a mass of structured bones that suggested a teratoma or fetus in fetu. At operation a 20 cm mass was found in the mesocolon covered by a membrane. The mass corresponded to a fetus in fetu connected by an umbilical-like cord to the host in the depth of the radix mesocoli. The fetus in fetu weighed 150 g and had severe malformations, such as internal hydrocephalus, a left side anotia, a descended right ear, anophthalmia, a right-sided amelia, a micromelia on the left side with 4 fingers, a sympus with 5 and 7 toes on the left and right side, respectively. There was also an almost complete aplasia of the internal organs with some remnants of intestine near the umbilical cord.
胎内胎是新生儿腹部肿块极为罕见的病因。一名6周大的女婴因上腹部肿块被送至我院。腹部平片显示有一团结构似骨的肿块，提示为畸胎瘤或胎内胎。手术中发现中结肠系膜内有一个20厘米的肿块，被一层膜覆盖。该肿块对应一个胎内胎，通过一条类似脐带的索与中结肠根部深处的宿主相连。这个胎内胎重150克，有严重畸形，如脑积水、左侧无耳、右侧耳朵低垂、无眼、右侧无肢、左侧短肢并有4个手指、并腿畸形，左右侧分别有5个和7个脚趾。此外，内部器官几乎完全发育不全，脐带附近有一些肠管残余。
