Fetus-in-fetu: A tale of the trapped triplets

A 7-day-old male child presented with abdominal distention and jaundice. Radiological investigations revealed an encapsulated sac encasing three fetus-in-fetu (FIF) in the retroperitoneum. Laparotomy revealed a sac occupying almost the whole of the abdomen. The sac was stretching the duodenum and ba...

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Bibliographic Details
Published in:Journal of Indian Association of Pediatric Surgeons 2023-09, Vol.28 (5), p.439-441
Main Authors: Nandan, Ruchira, Kachhap, Seth, Sengar, Pratishtha, Ghosh, Amrita, Pandey, Vaibhav, Indal, Manish
Format: Article
Language:English
Subjects:
Abdominal surgery
Anencephaly
Case Report
Congenital diseases
fetus-in-fetu
Fetuses
Intervention
Jaundice
Laparotomy
meningomyelocele
Neonatal care
Newborn babies
obstructive jaundice
Pediatrics
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Description
Summary:A 7-day-old male child presented with abdominal distention and jaundice. Radiological investigations revealed an encapsulated sac encasing three fetus-in-fetu (FIF) in the retroperitoneum. Laparotomy revealed a sac occupying almost the whole of the abdomen. The sac was stretching the duodenum and barely visible common bile duct, which were carefully separated. The rest of the bowel was displaced to the left. The sac containing three FIFs was excised intact. One of the fetuses was highly differentiated and had thoracic meningomyelocele, which has never been reported in FIF.
ISSN:0971-9261
1998-3891
DOI:10.4103/jiaps.jiaps_113_23