Hasan Bayan, Ebrahim Mohamed
General Practice, KIMSHEALTH Hospital, Manama, BHR.
Radiology, Salmaniya Medical Complex, Manama, BHR.
Cureus. 2022 Oct 16;14(10):e30342. doi: 10.7759/cureus.30342. eCollection 2022 Oct.
Fetus in fetu (FIF) is a rare congenital disorder in which a deformed fetus forms inside a normal one, mostly within the abdominal cavity. In this case study, we present a triplet pregnancy where one fetus was formed within a viable fetus. This was noted in prenatal imaging and upon delivery. Radiological investigations were conducted, including plain X-rays, abdominal computed tomography, and magnetic resonance imaging, and a preliminary case of FIF was diagnosed. Following this, surgical resection was planned and done soon after birth with histopathology confirmation of diagnosis, and it revealed no evidence of somatic malignancy. Currently, the patient is in stable condition and is being followed up with serial ultrasound imaging with alpha-fetoprotein levels to detect recurrence.
胎中胎(FIF)是一种罕见的先天性疾病,即一个畸形胎儿在正常胎儿体内形成,大多在腹腔内。在本病例研究中,我们呈现了一例三胎妊娠,其中一个胎儿在存活胎儿体内形成。这在产前影像学检查及分娩时被发现。进行了包括普通X线、腹部计算机断层扫描和磁共振成像在内的影像学检查,并初步诊断为胎中胎。此后,计划并在出生后不久进行了手术切除,组织病理学确诊了诊断,且未发现体细胞恶性肿瘤的证据。目前,患者情况稳定,正在通过连续超声成像及甲胎蛋白水平监测进行随访,以检测复发情况。