Single-center experience of fetus in fetu: A case series

Authors

  • G Habachi Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • I Sabolic Division of Pediatric Surgery Department of Surgery University Hospital Center Zagreb Croatia
  • M Mesic Department of Pediatric Surgery, Children’s Hospital Zagreb Croatia
  • A Ksia Pediatric Surgery Department Monastir Tunisia
  • M ben Fredj Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • S ben Youssef Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • S Sfar Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • N Kechiche Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • R Lamiri Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • M Mekki Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • M Belghith Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • M Messoud Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • S Mosbahi Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13
  • L Sahnoun Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13

DOI:

https://doi.org/10.47338/jns.v13.1279

Keywords:

Fetus in fetu , Teratoma, Neonates

Abstract

Background: Fetus in fetu is a rare congenital malformation resulting from abnormal embryogenesis in a monochorionic diamniotic twinning gestation. This study aimed to document our experience with this anomaly in a developing country.

Methods: This retrospective analysis covers cases of fetus in fetu diagnosed at our institution between 1999 and 2023. Patients presenting with an intracorporeal mass containing a vertebral column and an appropriate arrangement of organs and limbs around the axis were included in the study.

Results: Five female patients with fetus in fetu were identified. The timing of diagnosis varied from incidental antenatal ultrasound discovery to postnatal abdominal mass presentation. The initial diagnosis involved radiological and serological investigations, confirmed by histopathology after surgical excision. The mean age at the time of surgery was 44 days. All patients underwent complete excision of the fetal mass, resulting in excellent postoperative outcomes and no recurrences.

Conclusion: Fetus in fetu is a pediatric rarity and must be distinguished from a teratoma mass, which carries a high malignant potential. Histological and genetic studies may contribute to understanding the pathogenesis and etiology of the disease.

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Author Biography

A Ksia, Pediatric Surgery Department Monastir Tunisia

Pediatric surgery department Fattouma Bourguiba Hospital, Faculty of Medicine of Monastir Tunisia / research Laboratory LR12SP13

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Published

2024-04-13

How to Cite

1.
Habachi G, Sabolic I, Mesic M, Ksia A, ben Fredj M, ben Youssef S, Sfar S, Kechiche N, Lamiri R, Mekki M, Belghith M, Messoud M, Mosbahi S, Sahnoun L. Single-center experience of fetus in fetu: A case series. J Neonatal Surg [Internet]. 2024Apr.13 [cited 2024Sep.11];13:17. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/1279