Fetus in Fetu in an Adult Female and Brief Review of Literature

Fetus in fetu (FIF) is a very rare condition in which malformed fetus is found within the body of a living twin, most commonly within the retroperitoneum. It is a parasitic fetal twin of a diamniotic, monozygotic type. It should be differentiated from teratoma by the presence of organized vertebral column and appropriately arranged other organs or limbs around it. There is no such axial arrangement in teratoma, which has also got definite malignant potential. We report a case of FIF in a 21-year-old lady who presented late with nonspecific abdominal symptoms. Preoperative diagnosis of FIF in this case was made on computed tomography, and the patient underwent exploratory laparotomy with complete excision of mass. The excised mass in a sac was proven to be FIF on the basis of gross and histopathological examination. Surgical excision is the ideal treatment even teratoma being the differential diagnosis.

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Fetus in fetu in an adult woman

BMJ Case Reports ◽

10.1136/bcr-2019-230835 ◽

2019 ◽

Vol 12 (8) ◽

pp. e230835 ◽

Cited By ~ 2

Author(s):

Anil Kumar ◽

Shiv Shankar Paswan ◽

Bindey Kumar ◽

Prem Kumar

Keyword(s):

Histopathological Examination ◽

Rare Condition ◽

Surgical Excision ◽

Exploratory Laparotomy ◽

Late Presentation ◽

Adult Woman ◽

Suspected Case ◽

Fetus In Fetu ◽

First Case ◽

The Ideal

Fetus in fetu (FIF) is an extremely rare condition in which malformed fetus is found most commonly in the retroperitoneum of living twin. It occurs in about 1 in 500 000 live births and less than 200 cases have been reported in medical literature. We report FIF in a 17-year-old woman unlike other cases which were usually detected in early age and in male gender. This is the eighth case of adult FIF and the first case of FIF in adult woman worldwide. Preoperative diagnosis of FIF on CT was made and planned for exploratory laparotomy. The excised malformed fetus in a sac was proven as FIF on the basis of histopathological examination. In view to avoid such late presentation, early detection of FIF with radiological imaging in clinically suspected case is recommended. Surgical excision is the ideal treatment even teratoma is the differential diagnosis.

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Analysis of surgical outcome and review of literature of schwannomas arising from the extremities

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20193384 ◽

2019 ◽

Vol 7 (8) ◽

pp. 2995

Author(s):

Chandrashekhar Wahegaonkar ◽

Bhushan Patil ◽

Alok Sharma ◽

Bharat Bhushan Dogra

Keyword(s):

Histopathological Examination ◽

Operative Management ◽

Nerve Graft ◽

The Body ◽

Review Of Literature ◽

Complete Excision ◽

Nerve Sheath ◽

Patient Consent ◽

The Mean

Background: Schwannoma is a benign peripheral nerve sheath tumour derived from Schwann cells. Also known as Neurilemoma, it can affect any nerve in the body. They usually present as a painless swelling or paresthesia over the sensory distribution of the affected nerve. Although it is classically described that schwannomas are well encapsulated and can be completely enucleated during excision, many of them have fascicular involvement and could not be completely shelled out. The aim of this work is to present our experience in operative management of schwannomas located in extremities.Methods: Authors conducted a retrospective review for 18 adult patients with schwannoma, from June 2012 to June 2018. There were 10 men and 8 women, ranging from 20 to 68 years of age, with a mean age of 46 years old. All patients had excision done for the tumour and histopathological examination confirmed schwannoma. All patients were preoperatively evaluated both clinically and radiologically. FNAC was also done to confirm the origin of the swelling.Results: The mean follow up period has been 2 years. Complete excision with preservation of nerve was done in all cases except for one case in which nerve graft was used.Conclusions: Use of preoperative MRI, magnification and good surgical technique will help to enucleate the tumour completely without any collateral damage or recurrence. The possibility and option of nerve graft should be discussed with patients prior to schwannoma excision, so that nerve grafting could be directly proceeded with patient consent in case there is fascicular involvement of tumour found intraoperatively.

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Fetus in fetu: two case reports from North African country

Egyptian Pediatric Association Gazette ◽

10.1186/s43054-020-00049-5 ◽

2021 ◽

Vol 69 (1) ◽

Author(s):

Moutaz Ragab ◽

Omar Nagy Abdelhakeem ◽

Omar Mansour ◽

Mai Gad ◽

Hesham Anwar Hussein

Keyword(s):

Histopathological Examination ◽

Case Reports ◽

Abdominal Mass ◽

Mature Teratoma ◽

Surgical Techniques ◽

Rare Condition ◽

Mass Effect ◽

Fetus In Fetu ◽

Vascular Connection ◽

First Case

Abstract Background Fetus in fetu is a rare congenital anomaly. The exact etiology is unclear; one of the mostly accepted theories is the occurrence of an embryological insult occurring in a diamniotic monochorionic twin leading to asymmetrical division of the blastocyst mass. Commonly, they present in the infancy with clinical picture related to their mass effect. About 80% of cases are in the abdomen retroperitoneally. Case presentation We present two cases of this rare condition. The first case was for a 10-year-old girl that presented with anemia and abdominal mass, while the second case was for a 4-month-old boy that was diagnosed antenatally by ultrasound. Both cases had vertebrae, recognizable fetal organs, and skin coverage. Both had a distinct sac. The second case had a vascular connection with the host arising from the superior mesenteric artery. Both cases were intra-abdominal and showed normal levels of alpha-fetoprotein. Histopathological examination revealed elements from the three germ layers without any evidence of immature cells ruling out teratoma as a differential diagnosis. Conclusions Owing to its rarity, fetus in fetu requires a high degree of suspicion and meticulous surgical techniques to avoid either injury of the adjacent vital structures or bleeding from the main blood supply connection to the host. It should be differentiated from mature teratoma.

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A Case of Incidental Schwannoma Mimicking Necrotic Metastatic Lymph Node from Bladder Cancer

Medicina ◽

10.3390/medicina57070728 ◽

2021 ◽

Vol 57 (7) ◽

pp. 728

Author(s):

Jeong-Hyouk Choi ◽

Koo-Han Yoo ◽

Dong-Gi Lee ◽

Gyeong-Eun Min ◽

Gou-Young Kim ◽

...

Keyword(s):

Histopathological Examination ◽

Metastatic Lymph Node ◽

Imaging Study ◽

Surgical Excision ◽

The Body ◽

Pathological Examination ◽

Cystic Tumor ◽

Complete Surgical Excision ◽

Ultrasound Computed Tomography ◽

Retroperitoneal Schwannoma

Background and Objectives: Retroperitoneal schwannoma is a very rare case of schwannoma which commonly occurs in the other part of the body. However, it is difficult to distinguish schwannoma from other tumors before pathological examination because they do not show specific characteristics on imaging study such as ultrasound, computed tomography (CT), and magnetic resonance image (MRI). Case summary: A 60-year-old male showed a retroperitoneal cystic tumor which is found incidentally during evaluation of coexisted bladder tumor. Neurogenic tumor was suspicious for the retroperitoneal tumor through pre-operative imaging study. Finally, a schwannoma was diagnosed by immunohistochemical examination after complete surgical excision laparoscopically. Conclusion: As imaging technology is developed, there may be more chances to differentiate schwannoma from other neoplasm. However, still surgical resection and histopathological examination is feasible for diagnosis of schwannoma.

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Branchial Sinus with Cyst - Two Case Reports with Review of Literature

International Journal of Research and Review ◽

10.52403/ijrr.20211147 ◽

2021 ◽

Vol 8 (11) ◽

pp. 375-377

Author(s):

Ashoka Nand Thakur ◽

Priyambada .

Keyword(s):

Histopathological Examination ◽

Case Reports ◽

Branchial Arch ◽

Pharyngeal Arch ◽

Review Of Literature ◽

Complete Excision ◽

Branchial Cyst ◽

Branchial Sinus ◽

Branchial Cleft Anomalies ◽

Branchial Cleft

Branchial cleft anomalies are well described, with the second arch anomaly being the commonest. Remains of cervical sinus of His may persist as a branchial cyst. A branchial sinus is formed when 2nd branchial arch fails to meet the 5th pharyngeal arch. Peak age for presentation of branchial cysts is in the third decade and that of the congenital sinuses and fistulae is at birth. The association of a branchial cyst with branchial sinus is very rare. We are presenting two cases had branchial cyst along with branchial sinus. It was managed successfully with complete excision. Histopathological examination confirmed the association. Keywords: Branchial Sinus, Branchial cyst,

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Duodenal Duplication Cyst in Close Proximity of Ampulla of Vater: A Surgical Challenge

Journal of Neonatal Surgery ◽

10.21699/jns.v7i3.772 ◽

2018 ◽

Vol 7 (3) ◽

pp. 39

Author(s):

Nahla Kechiche ◽

Rabeb Farhani ◽

Rachida Lamiri ◽

Abdelatif Nouri

Keyword(s):

Surgical Excision ◽

Ampulla Of Vater ◽

Duplication Cyst ◽

Complete Excision ◽

Duodenal Duplication ◽

Complete Surgical Excision ◽

Close Proximity ◽

Duodenal Duplication Cyst ◽

Upper Gastrointestinal ◽

The Ideal

Prompt preoperative diagnosis of duodenal duplication cyst is uncommon owing to its extreme rarity. The ideal treatment of intestinal duplication cyst is complete surgical excision, though in few cases, due to the proximity to the bilio-pancreatic duct, the complete excision is not possible. We herein present an infant presenting with bilious vomiting starting few days after birth. Ultrasonography and CT scan provided the diagnosis of the duplication cyst in relation to duodenum. A successful surgical management by a subtotal excision was done. Although duodenal duplication is seldom seen, it should be considered in differential diagnoses of upper gastrointestinal tract (GIT) occlusion.

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Extramammary Paget’s Disease of the Vulva: Report of Two Cases

Medicina ◽

10.3390/medicina57101029 ◽

2021 ◽

Vol 57 (10) ◽

pp. 1029

Author(s):

Christoforos S. Kosmidis ◽

Christina Sevva ◽

Panagiota Roulia ◽

Charilaos Koulouris ◽

Nikolaos Varsamis ◽

...

Keyword(s):

Histopathological Examination ◽

Paget’S Disease ◽

Rare Condition ◽

Surgical Excision ◽

Paget's Disease ◽

Extramammary Paget’S Disease ◽

Incisional Biopsy ◽

Efficient Treatment ◽

Diagnostic Difficulties ◽

Extramammary Paget's Disease

Extramammary Paget’s disease is a rare condition, affecting 6.5% of all patients with Paget’s disease. The most common extramammary site is the vulvar area. Although diagnosis in some patients is difficult to set, early diagnosis is of high importance in order to detect the irreversible progression of the lesion early and prevent distant metastasis. An 89-year-old female and a 69-year-old female presented within three months with an eczematous lesion with leukoplakia in the vulva. The incisional biopsy of the skin revealed extramammary Paget’s disease. Both patients underwent a surgical wide local excision of the lesion and the specimens were sent for histopathological examination. Extramammary Paget’s disease has a high potential for distant malignancies and local recurrence, dictating that surgical excision is the most efficient treatment. The rareness of the condition and the diagnostic difficulties underline the need for early skin biopsy, which is the most efficient diagnostic tool.

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Vaginal Adenosis in a 40-year-old Lady: A Case Report and Review of Literature

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1230 ◽

2013 ◽

Vol 5 (2) ◽

pp. 80-82

Author(s):

Shamsun Nahar Begum Hena ◽

Nasrin Akhter ◽

Sakti Das ◽

Afroza Kutubi

Keyword(s):

Case Report ◽

South Asian ◽

Vaginal Discharge ◽

Histopathological Examination ◽

Rare Condition ◽

Vaginal Wall ◽

Review Of Literature ◽

History Of ◽

Unclear Etiology ◽

Diffuse Lesion

ABSTRACT Vaginal adenosis, without a history of diethylstilbestrol (DES) exposure, is a rare condition with an unclear etiology. A 40- year-old female presented with complaints of persistent excessive watery vaginal discharge. On examination, there was red, patchy, diffuse lesion all over the vaginal wall and cervix. Histopathological examination of the lesion revealed vaginal adenosis. This case is presented here for its rarity. How to cite this article Hena SNB, Akhter N, Das S, Kutubi A. Vaginal Adenosis in a 40-year-old Lady: A Case Report and Review of Literature. J South Asian Feder Obst Gynae 2013;5(2):80-82.

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Omental Lymphangioma in Adults—Rare Presentation Report of a Case

Case Reports in Surgery ◽

10.1155/2012/629482 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

T. Narayana Rao ◽

T. Parvathi ◽

A. Suvarchala

Keyword(s):

Case Report ◽

Histopathological Examination ◽

Benign Lesion ◽

Surgical Excision ◽

Histological Findings ◽

Rare Presentation ◽

Complete Excision ◽

Complete Surgical Excision ◽

Biopsy Report

Lymphangioma is an uncommon benign lesion that usually occurs during childhood. Its occurrence in adults is rare. Its presentation in the abdomen is even rare. This case report describes a case of omental lymphangioma presented as retroperitoneal lump. Subsequent imaging, operative, and histological findings revealed omental lymphangioma. Laparotomy done under general anesthesia, a 10 × 12 cm cystic swelling arising from omentum, identified complete excision of the cyst done and send the specimen for histopathological examination. Biopsy report came as omental lymphangioma. Complete surgical excision is the treatment of choice. Prognosis is excellent and recurrence rate is very low if resection is complete. During two years of followup no recurrence was detected. Omental lymphangioma is very rare presentation among abdominal lymphangiomas specifically in adults. Complete excision is the treatment of choice. Long-term followup is required to detect recurrence.

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Surgical Excision of Thoracic Osteoblastoma with Secondary Aneurysmal Bone Cyst from a 12-Year-Old Child

Pediatric Neurosurgery ◽

10.1159/000510015 ◽

2020 ◽

Vol 55 (5) ◽

pp. 280-288

Author(s):

David Shaoen Sim ◽

Jayanthi Karunanithi ◽

Sathiyamoorthy Selvarajan ◽

Reuben Chee Cheong Soh

Keyword(s):

Aneurysmal Bone Cyst ◽

Posterior Instrumentation ◽

Bone Cyst ◽

Rare Condition ◽

Surgical Excision ◽

Neurological Deficits ◽

Complete Excision ◽

Case Presentation ◽

Surgical Debulking ◽

Secondary Aneurysmal Bone Cyst

Introduction: Osteoblastoma is a primary benign tumour which commonly presents in the younger population during the second decade of life. However, more aggressive osteoblastomas may present with features of aneurysmal bone cyst, and these can occur at uncommon locations. Case Presentation: We report the case of a 12-year-old child having an osteoblastoma on the left side of T11 with secondary aneurysmal bone cyst presenting with neurological deficits and myelopathic symptoms. Surgical debulking of the lesion with decompression laminectomy and posterior instrumentation of the spine was performed. The child is currently recovering well with improvement of neurological deficits. Discussion/Conclusion: Osteoblastoma with aneurysmal bone cyst of the thoracic spine is a rare condition with few reports in the literature, and surgical intervention with complete excision has been demonstrated here with recovery of neurological function.

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