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Fetus in Fetu

By Dr.Pavan Kumar In OBSTETRICS Posted September 24, 2018

Patient History : A 6mth old female child noticed to have lump in abdomen for 4mths, progressively increasing. No bowel complaints. No pain.
Gender:Not specified
Age:6 mont

- Rare
- Fetus in fetu is a malformed parasitic monozygotic diamniotic twin that is found inside the body of a living child or adult, the fetiform mass usually being in the abdomen of the host.

 - usually presentation age < 2yrs.
 - can occur in either sex.
 - most common symptom - abdominal lump.
 - usually retroperitoneal in location.


Most of the fetus in fetu are pedunculated masses within a capsule containing fluid and with an umbilical cord composed of only 2 vessels.
The fetus is usually anencephalic.
The vertebral column and the limbs are present in most cases.


D/D -
teratoma
meconium pseudocyst

- differentiated by its fetiform morphology, and metameric segmentation of the spinal axis.
- Fetus in fetu is applied to any structure in which the fetal form is in a very high development of organogenesis and to the presence of a vertebral axis.
   On the contrary, teratoma is an accumulation of pluripotential cells in which there is neither organogenesis nor vertebral segmentation

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