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Society for Pediatric Radiology – Poster Archive
Final ID: Poster #: CR-009
Fetus in Fetu: Intra-abdominal Fetal Mass Case Report
Purpose or Case Report: Case Presentation
A 28-year-old patient, undergoing her second pregnancy, with no pathological or toxic clinical history, presented with an intra-abdominal fetal mass identified during 34-week gestational age routine ultrasound. A Fetal Magnetic Resonance Imaging (fMRI) was performed, revealing findings compatible with Fetus in Fetu (FiF).
Findings
The ultrasound examination revealed an intraperitoneal mass in the middle of the fetal abdomen, solid, heterogeneous, with fatty areas and calcified structures resembling long bones. Vascularized by the superior mesenteric artery and displaced abdominal organs without invading them. These findings were confirmed later with fMRI.
Birth was delivered via cesarean section at 38 weeks. Due to suspicion of FiF vs. Teratoma (Tt), tumor markers were tested with negative results. During follow-up, FiF growing was observed, leading to the decision to surgically remove the tumor at two months of age. Anatomopathologic examination confirmed the diagnosis of FiF. A computed tomography of the surgical specimen revealed characteristic FiF signs.
Discussion
With an estimated incidence of 1 in 500,000 births, FiF is a condition in which, due to abnormal embryogenesis in a monochorionic diamniotic pregnancy, one fetus grows abnormally within the body of the other. The diagnosis is based on imaging findings and is characterized by the presence of a separate vertebral column and the development of organs around this axis, indicating an early stage of fetal development. These features distinguish it from a highly differentiated Teratoma.
Although it is a benign condition, the mass can affect surrounding structures. Prenatal diagnosis is more feasible nowadays, and suspicion should arise when an encapsulated cystic mass with calcified components is identified.
Conclusion
Imaging plays a crucial role in the diagnosis due to its similarity to a teratoma, which could have malignant potential. Surgical treatment is required, and early detection allows for a favorable prognosis.
Methods & Materials:
Results:
Conclusions:
A 28-year-old patient, undergoing her second pregnancy, with no pathological or toxic clinical history, presented with an intra-abdominal fetal mass identified during 34-week gestational age routine ultrasound. A Fetal Magnetic Resonance Imaging (fMRI) was performed, revealing findings compatible with Fetus in Fetu (FiF).
Findings
The ultrasound examination revealed an intraperitoneal mass in the middle of the fetal abdomen, solid, heterogeneous, with fatty areas and calcified structures resembling long bones. Vascularized by the superior mesenteric artery and displaced abdominal organs without invading them. These findings were confirmed later with fMRI.
Birth was delivered via cesarean section at 38 weeks. Due to suspicion of FiF vs. Teratoma (Tt), tumor markers were tested with negative results. During follow-up, FiF growing was observed, leading to the decision to surgically remove the tumor at two months of age. Anatomopathologic examination confirmed the diagnosis of FiF. A computed tomography of the surgical specimen revealed characteristic FiF signs.
Discussion
With an estimated incidence of 1 in 500,000 births, FiF is a condition in which, due to abnormal embryogenesis in a monochorionic diamniotic pregnancy, one fetus grows abnormally within the body of the other. The diagnosis is based on imaging findings and is characterized by the presence of a separate vertebral column and the development of organs around this axis, indicating an early stage of fetal development. These features distinguish it from a highly differentiated Teratoma.
Although it is a benign condition, the mass can affect surrounding structures. Prenatal diagnosis is more feasible nowadays, and suspicion should arise when an encapsulated cystic mass with calcified components is identified.
Conclusion
Imaging plays a crucial role in the diagnosis due to its similarity to a teratoma, which could have malignant potential. Surgical treatment is required, and early detection allows for a favorable prognosis.
Methods & Materials:
Results:
Conclusions:
More abstracts on this topic:
Fetal MRI: A valuable complementary imaging tool in the era of fetal therapy and management of fetal chest, abdominal and pelvic pathologies
Snyder Elizabeth, Baschat Ahmet, Huisman Thierry, Tekes-brady Aylin
Fetal midface hypoplasia as observed on sonography (US) and 3 Tesla magnetic resonance imaging (MRI): Prenatal findings, associated anomalies and clinical outcomesFoust Alexandra, Barnewolt Carol, Poorvu Tabitha, Parad Richard, Estroff Judy
Poster____CR-009.pdf
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