Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website https://www.jcgo.org

Case Report

Volume 9, Number 4, December 2020, pages 129-133

Rare Presentation of Fetus in Fetu - Laparoscopic Approach: A Case Report

Figures

Figure 1.
Figure 1. Intraoperative photograph showing twisted ovarian cyst.
Figure 2.
Figure 2. Picture showing port positions on day 1 after laparoscopy.
Figure 3.
Figure 3. Gross photograph of content of ovarian cyst after extraction. Rudimentary fetus weighed 216 g, covered with skin, showing gluteal cleft, both lower limb buds and ill-developed external genitalia.
Figure 4.
Figure 4. Gross photograph of skull in rudimentary fetus.
Figure 5.
Figure 5. Plain X-ray showing embryonic vertebral column and long bones corresponding to fetal limbs.
Figure 6.
Figure 6. Photomicrograph showing skin, hair follicles and adnexal appendages.
Figure 7.
Figure 7. Photomicrograph showing cartilage, bone and bone marrow elements and fibroadipose tissue.

Table

Table 1. Reported Cases of Adult FIF and Their Characteristics Between 1992 and 2019 [2-9]
 
Author, yearAgeSexSiteSize (cm)SymptomsManagementPostoperative test
Largest dimension of the mass has been calculated as the size. Immunohistochemistry was not performed in any of the cases of adult FIF described in literature. Preoperative CT was the diagnostic modality in all cases where data were available. Only patients who had a clear supporting postoperative diagnosis were included in the literature review. FIF: fetus in fetu; M: male; F: female; RP: retroperitoneal; HPE: histopathological examination; CECT: contrast-enhanced computed tomography; NA: data not available.
Dagradi et al, 1992 [4]47MRP20Upper abdominal mass since birthSurgeryHPE
Shrivastava et al, 1999 [3]27MRPNANASurgeryNA
Awasthi et al, 2001 [5]30MRP27Slow growing mass from childhoodLaparotomyNA
Masaad et al, 2001 [6]27MRP with mediastinal extension22Recent dysphagia, mass from childhoodLaparotomyHPE, chromosome analysis
Sharma et al, 2007 [8]36MRP27Upper abdominal swelling, vomiting, anemiaLaparotomyPathological examination
Daga et al, 2009 [9]20MRP20Upper abdominal swelling from birth, acute painLaparotomyHPE
Murtaza et al, 2010 [7]30FRP18Chronic abdominal lumpLaparotomyX-ray, HPE
Kumar et al, 2019 [2]17FRP30Chronic abdominal lumpLaparotomyCECT