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胎中胎:腹部肿块的罕见原因

Fetus in Fetu: A Rare Cause of an Abdominal Lump.

作者信息

Sahoo Debiprasad, Borle Nitin, Suryawanshi Sachin, Habib Rajendra, Balasubramanian Meenakshi

机构信息

General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, IND.

Pathology, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, IND.

出版信息

Cureus. 2024 Oct 14;16(10):e71464. doi: 10.7759/cureus.71464. eCollection 2024 Oct.

DOI:10.7759/cureus.71464
PMID:39544589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11560394/
Abstract

Fetus in fetu (FIF) is a rare anomaly characterized by the presence of a monozygotic twin that becomes incorporated into the abdomen of its sibling during fetal development. FIF is a rare congenital condition typically identified in infancy. We present a case of FIF in a 16-year-old male, which is an extremely rare presentation during adolescence. Teratoma is one of the differentials; however, FIF can be distinguished from teratoma by the presence of a vertebral column, often accompanied by a proper arrangement of other organs or limbs around it. Computed tomography (CT) imaging preoperatively diagnosed the FIF, prompting the decision for exploratory laparotomy. Histopathological analysis confirmed the diagnosis of FIF. Surgical excision is considered the optimal treatment.

摘要

胎内胎是一种罕见的异常情况,其特征为在胎儿发育过程中,单卵双胎中的一个被纳入其同胞的腹部。胎内胎是一种罕见的先天性疾病,通常在婴儿期被发现。我们报告一例16岁男性的胎内胎病例,这在青春期是极其罕见的表现。畸胎瘤是鉴别诊断之一;然而,胎内胎可通过存在脊柱来与畸胎瘤相区分,脊柱周围通常还伴有其他器官或肢体的正常排列。术前计算机断层扫描(CT)成像诊断为胎内胎,促使决定进行剖腹探查术。组织病理学分析证实了胎内胎的诊断。手术切除被认为是最佳治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1496/11560394/c7d5f2aa6b5f/cureus-0016-00000071464-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1496/11560394/692f0d1bfc47/cureus-0016-00000071464-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1496/11560394/073c2a7d18d4/cureus-0016-00000071464-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1496/11560394/c7d5f2aa6b5f/cureus-0016-00000071464-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1496/11560394/692f0d1bfc47/cureus-0016-00000071464-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1496/11560394/073c2a7d18d4/cureus-0016-00000071464-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1496/11560394/c7d5f2aa6b5f/cureus-0016-00000071464-i03.jpg

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Fetus in Fetu: A Rare Cause of an Abdominal Lump.胎中胎:腹部肿块的罕见原因
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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.
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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.
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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.
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