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胎中胎:一种罕见的先天性异常,出生后通过超声和磁共振成像诊断

Fetus in Fetu: A Rare Congenital Anomaly Diagnosed Postnatally by Ultrasonography and MRI.

作者信息

M Sandra C, Peethambar Breman A

机构信息

Diagnostic Radiology, Muslim Educational Society (MES) Medical College, Perinthalmanna, IND.

Medicine, Madras Medical College, Chennai, IND.

出版信息

Cureus. 2023 Jul 8;15(7):e41550. doi: 10.7759/cureus.41550. eCollection 2023 Jul.

DOI:10.7759/cureus.41550
PMID:37554598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10405024/
Abstract

Fetus in fetu (FIF) is a rare congenital anomaly with two controversial theories regarding its embryogenesis. Although it is an extremely rare condition, it should be kept in mind as a differential diagnosis while evaluating children with abdominal calcification. Radiological findings on postnatal days 2 and 5 of a neonate with an antenatal scan showing an abdominal mass in the fetus are described here. Ultrasonography and magnetic resonance imaging (MRI) revealed the mass in which the contents favored a diagnosis of the FIF. Characteristic features of FIF on MRI have been less explored and knowledge regarding the same will be of immense help to the radiologist. Complete surgical excision followed by histopathology confirmed the diagnosis.

摘要

胎内胎(FIF)是一种罕见的先天性异常,关于其胚胎发生有两种存在争议的理论。尽管这是一种极其罕见的病症,但在评估有腹部钙化的儿童时,应将其作为鉴别诊断予以考虑。本文描述了一名产前扫描显示胎儿腹部有肿块的新生儿出生后第2天和第5天的影像学表现。超声检查和磁共振成像(MRI)显示了一个肿块,其内容物支持胎内胎的诊断。MRI上胎内胎的特征性表现研究较少,了解这些知识将对放射科医生有极大帮助。完整的手术切除并经组织病理学检查确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/d7e85691152a/cureus-0015-00000041550-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/67057f2122ab/cureus-0015-00000041550-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/361447142769/cureus-0015-00000041550-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/6fd9dba99748/cureus-0015-00000041550-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/d7e85691152a/cureus-0015-00000041550-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/67057f2122ab/cureus-0015-00000041550-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/361447142769/cureus-0015-00000041550-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/6fd9dba99748/cureus-0015-00000041550-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878a/10405024/d7e85691152a/cureus-0015-00000041550-i04.jpg

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引用本文的文献

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Radiol Case Rep. 2025 Apr 17;20(7):3331-3334. doi: 10.1016/j.radcr.2025.03.073. eCollection 2025 Jul.

本文引用的文献

1
Fetus-in-Fetu: A Differential Diagnosis of Neonatal Fetiform Encysted Abdominal Mass.胎中胎:新生儿胎儿样包块性腹部肿物的鉴别诊断
Cureus. 2023 Jan 12;15(1):e33725. doi: 10.7759/cureus.33725. eCollection 2023 Jan.
2
Fetus in Fetu: A Case of Vanishing Triplet Phenomena.胎内胎:一例消失的三胞胎现象病例。
Cureus. 2022 Oct 16;14(10):e30342. doi: 10.7759/cureus.30342. eCollection 2022 Oct.
3
A rare case of fetus in fetu in the sacrococcygeal region: CT and MRI findings.骶尾部胎儿内胎儿罕见病例:CT 和 MRI 表现。
BMC Pediatr. 2021 Dec 15;21(1):575. doi: 10.1186/s12887-021-03063-7.
4
Fetus in Fetu in an Adult Female and Brief Review of Literature.成年女性体内的胎中胎及文献综述
Case Rep Radiol. 2021 Feb 11;2021:6660277. doi: 10.1155/2021/6660277. eCollection 2021.
5
Fetus in fetu in an adult woman.成年女性体内的胎中胎。
BMJ Case Rep. 2019 Aug 12;12(8):e230835. doi: 10.1136/bcr-2019-230835.
6
Fetus in fetu: a medical curiosity--considerations based upon an intracranially located case.胎中胎:一种医学奇闻——基于颅内病例的思考
Childs Nerv Syst. 2014 Feb;30(2):357-60. doi: 10.1007/s00381-013-2191-8. Epub 2013 Jun 19.
7
Diagnostic dilemma in a neglected case of fetus-in-fetu solved with Magnetic Resonance Imaging and MDCT--a case report and review of literature.磁共振成像和多层螺旋CT解决的一例被忽视的胎中胎诊断难题——病例报告及文献复习
J Radiol Case Rep. 2011;5(10):29-37. doi: 10.3941/jrcr.v5i10.833. Epub 2011 Oct 1.
8
Double fetus-in-fetu: CT scan diagnosis in an adult.双胎胎中胎:一例成人的CT扫描诊断
Indian J Radiol Imaging. 2009 Jul-Sep;19(3):216-8. doi: 10.4103/0971-3026.54890.
9
Origin and mechanisms of formation of fetus-in-fetu: two cases with genotype and methylation analyses.胎中胎的起源及形成机制:两例基因型和甲基化分析
Am J Med Genet A. 2006 Aug 15;140(16):1737-43. doi: 10.1002/ajmg.a.31362.
10
Fetus-in-fetu in the pelvis: report of a case and literature review.盆腔寄生胎:一例报告及文献复习
Ann Acad Med Singap. 2005 Nov;34(10):646-9.