Author/Authors :
Berdi Taneh, Halim Faculty Member of Pediatrics Surgery Department - Educational Center of Taleghani - Golestan University of Medical Sciences, Gorgan, Iran , Chehrehgosha, Maryam Faculty Member of Surgical Technology Department - Paramedical School - Golestan University of medical Sciences, Gorgan, Iran , Kochaki, Ghorban Mohammad Faculty Member of Surgical Technology Department - Paramedical School - Golestan University of medical Sciences, Gorgan, Iran , Kalantari, Soheyla Faculty Member of Surgical Technology Department - Paramedical School - Golestan University of medical Sciences, Gorgan, Iran , Naleini, Nima Student Research Committee - Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract :
Background
Fetus-In-Fetu (FIF) is a rare congenital malformation, which consists of a fetus mixed with a distinct
tissue that is from the other fetus of the twin. FIF is defined as a mass containing a vertebral axis that
is often associated with other organs or limbs around this central axis.
Case Report
The patient was a two days old girl infant who was referred to the Taleghani Pediatric Center of
Gorgan, Iran, due to a mass in sacral area measuring 8.5 x 12.5 cm with soft consistency containing a
normal skin colored fluid with blood streaks and hemorrhagic and bruise colored patches since birth.
The results of the mother's ultrasound in the fourth month of pregnancy had identified the cyst for the
fetus. In the primary results of imaging, the first diagnosis was type 2 Sacrococcygeal
teratoma (SCT). However, results of post-birth graph confirmed the presence of fetal bone structure in
the infant's sacrum, so FIF was diagnosed for the infant.
Conclusion
Current imaging modalities enable accurate diagnosis before surgery. Complete resection is generally
curative and allows confirmation of the diagnosis.
Keywords :
Case report , Fetus-in-fetu , Sacrum , Infant