Prenatal diagnosis of a “living” oropharyngeal fetus in fetu: a case report

Abstract Backgroud Fetus in fetu (FIF) is a rare malformation in which a parasitic twin within its more mature twin. Most of the FIF locate in the retroperitoneum and are acardiac and anencephalic. Case presentation Here, we describe a unique case of oropharyngeal fetus in fetu with a rudimentary two-chambered heart detected by prenatal ultrasonography. The parents terminated this pregnancy after counseling. Macroscopic examination found a solid mass between the oral and fetal chest, with a rudimentary two-chambered heart at the lowest part of the mass. Microscopic findings showed amniotic membrane, skin, cartilage, gastrointestinal and neural tissue. Conclusions Prenatal ultrasound can identify rudimentary organs suspecting FIF from early pregnancy. Detection of fetal heart beat facilitates differential diagnosis with teratomas, providing essential information for parental consulting and management.

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Trichorionic Triamniotic Triplets After Single Embryo Transfer: A Case Series and Literature Review

International Journal of Women s Health and Reproduction Sciences ◽

10.15296/ijwhr.2019.67 ◽

2018 ◽

Vol 7 (3) ◽

pp. 408-411

Author(s):

Isao Takehara ◽

Toshifumi Takahashi ◽

Kuniaki Ota ◽

Nobuhiko Ohta ◽

Hideki Mizunuma ◽

...

Keyword(s):

Embryo Transfer ◽

Fetal Heart ◽

Hormone Replacement ◽

Case Series ◽

Single Embryo Transfer ◽

Heart Beat ◽

Assisted Hatching ◽

Triplet Pregnancy ◽

Case Presentation ◽

First Case

Objectives: Monozygotic triplet pregnancy very rarely occurs in assisted reproductive technology (ART) treatment. The present study reported two cases of trichorionic triplet pregnancies after single embryo transfer (SET) and reviewed the literature in this regard. Case Presentation: In the first case, a 29-year-old female underwent the long protocol using gonadotropin-releasing hormone analogue and one full blastocyst was transferred in a fresh cycle. At 6 gestational weeks, three gestational sacs were clearly observed, while only one fetus with fetal heart beat was found after one week. In the second case, a 39-year-old female underwent intracytoplasmic sperm injection treatment and seven embryos were frozen accordingly. After assisted hatching, one completely expanded blastocyst was transferred during a hormone replacement cycle. Three gestational sacs with three yolk sacs were observed at 6 gestational weeks. Finally, two fetuses with fetal heart beat were found after one week. Conclusions: Overall, although the developmental mechanisms of monozygotic triplets are unknown, clinicians should be aware of the possibility of multiple pregnancies under SET.

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Blindness paving the path to the diagnosis of metastatic prostate carcinoma: A unique case presentation

Journal of Clinical Urology ◽

10.1177/20514158211053701 ◽

2021 ◽

pp. 205141582110537

Author(s):

Aadhar Jain ◽

Anveshi Nayan ◽

Sujata Patwardhan

Keyword(s):

Vision Loss ◽

Specific Antigen ◽

Primary Source ◽

Metastatic Lesion ◽

Unique Case ◽

Case Presentation ◽

Intracranial Metastases ◽

Appropriate Therapy ◽

Brain Involvement ◽

Metastatic Prostate Carcinoma

Background: Intracranial metastases from prostate adenocarcinoma are very unusual and typically occur late in the course of the disease, and initial presentation with symptomatic brain involvement, especially vision loss is very rare (with this being only the sixth such reported case to the best of our knowledge). The present case elucidates how a diagnosis was reached in such a scenario and the management provided. Case presentation: A 66-year-old gentleman presented with loss of vision and headache with no other ocular or neurological complaint. Computed tomography (CT) of his head revealed a destructive lesion involving the clivus and a space-occupying lesion (SOL) in occipito-parietal region. Detailed inquiry regarding the possible primary source of suspected the metastatic lesion revealed an increased frequency of urination, nocturia, and significant weight loss. His serum prostate-specific antigen (PSA) levels were raised. He was treated by surgical hormonal therapy and his visual symptoms improved. Conclusion: Awareness of such a presentation can lead to an accurate diagnosis. Initiation of appropriate therapy can successfully alleviate the neurologic deficits.

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Malakoplakia in a colonic tubular adenoma: a unique case presentation

Nowotwory Journal of Oncology ◽

10.5603/njo.2017.0059 ◽

2018 ◽

Vol 67 (6) ◽

pp. 365-369

Author(s):

Akash Gupta ◽

Abdalla Saad Abdalla Al-Zawi ◽

Asghar Naqvi ◽

Samih Salama ◽

Salem Alawami ◽

...

Keyword(s):

Tubular Adenoma ◽

Unique Case ◽

Case Presentation

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A Unique Case Presentation of Methadone Toxicity without QTc Interval Prolongation despite Patient Risk Factors

Clinical Studies & Medical Case Reports ◽

10.24966/csmc-8801/100057 ◽

2018 ◽

Vol 5 (3) ◽

pp. 1-6

Author(s):

Keith T Veltri ◽

Keyword(s):

Risk Factors ◽

Qtc Interval ◽

Interval Prolongation ◽

Unique Case ◽

Patient Risk ◽

Case Presentation ◽

Qtc Interval Prolongation

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Pancreatic inflammatory myofibroblastic of the pancreatic neck: a case report and literature review

10.21203/rs.3.rs-131102/v2 ◽

2020 ◽

Author(s):

Zhitao Chen ◽

Yaoxiang Lin ◽

Mengxia Li ◽

Ting Zhang ◽

Lele Zhang ◽

...

Keyword(s):

Pancreatic Cancer ◽

Inflammatory Myofibroblastic Tumor ◽

Inflammatory Cell ◽

Pancreatic Neuroendocrine Tumor ◽

Neck Mass ◽

Pathological Diagnosis ◽

Unique Case ◽

Case Presentation ◽

Histological Features ◽

Pancreatic Neck

Abstract BackgroundPancreatic inflammatory myofibroblastic tumor (IMT) is a relatively rare disease, which is often confused with pancreatic cancer or pancreatic neuroendocrine tumor. Its histological features are fibroblast and myofibroblast proliferation, accompanied by varying degrees of inflammatory cell infiltration. Case presentationHerein, we presented the management of IMT occurring at the neck of pancreas. A 66-year-old female patient was diagnosed as pancreatic neck mass after a series of tests. Then she underwent enucleation of pancreatic neck tumor followed by pathological diagnosis of IMT. Meanwhile, we reviewed the clinical features and pathological diagnosis and treatment of pancreatic IMT which were previously reported. To our knowledge, this is the unique case of enucleation of pancreatic IMT. ConclusionIn the management of pancreatic IMT, we concluded that enucleation may be a safe and efficient surgical method for the management of pancreatic IMT and may also provide a better prognosis. Further accumulation of cases is required to explore the surgical measure of pancreatic IMTs.

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Acute and Chronic Fetal Anemia as a Result of Fetomaternal Hemorrhage

Case Reports in Obstetrics and Gynecology ◽

10.1155/2014/296463 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Paul Singh ◽

Tara Swanson

Keyword(s):

Fetal Heart ◽

Fetal Anemia ◽

Fetal Blood ◽

Maternal Circulation ◽

Unique Case ◽

Diastolic Velocity ◽

Fetomaternal Hemorrhage ◽

Ultrasound Findings ◽

Perinatal Management ◽

Cerebral Vascular Resistance

Introduction.Fetomaternal hemorrhage represents a transfer of fetal blood to the maternal circulation. Although many etiologies have been described, most causes of fetomaternal hemorrhage remain unidentified. The differentiation between acute and chronic fetomaternal hemorrhage may be accomplished antenatally and may influence perinatal management.Case.A 36-year-old gravida 6 para 3 presented at 37 and 5/7 completed gestational weeks with ultrasound findings suggestive of chronic fetal anemia such as right ventricular enlargement, diminished cerebral vascular resistance, and elevated middle cerebral artery end-diastolic velocity. On the other hand, signs of acute fetal decompensation such as deterioration of the fetal heart tracing, diminished biophysical score, decreased cord pH, and increased cord base deficit were noted. Following delivery, the neonate’s initial hemoglobin was 4.0 g/dL and the maternal KB ratio was 0.015 indicative of a significant fetomaternal hemorrhage.Discussion.One should consider FMH as part of the differential diagnosis for fetal or immediate neonatal anemia. We describe a unique case of FMH that demonstrated both acute and chronic clinical features. It is our hope that this case will assist practitioners in differentiating acute FMH that may require emergent delivery from chronic FMH which may be able to be expectantly managed.

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COUNTING THE FETAL HEART BEAT

JAMA ◽

10.1001/jama.1927.92680390028010 ◽

1927 ◽

Vol 88 (13) ◽

pp. 1000 ◽

Cited By ~ 2

Author(s):

Joseph B. De Lee

Keyword(s):

Fetal Heart ◽

Heart Beat

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Operation procedure of sacrococcygeal fetus in fetu

Paediatrica Indonesiana ◽

10.14238/pi51.1.2011.58-60 ◽

2011 ◽

Vol 51 (1) ◽

pp. 58 ◽

Cited By ~ 1

Author(s):

Rochadi Rochadi

Keyword(s):

Adrenal Gland ◽

Abdominal Mass ◽

Rare Condition ◽

Mature Embryo ◽

First Year ◽

Fetus In Fetu ◽

Sacrococcygeal Region ◽

Parasitic Twin ◽

Operation Procedure ◽

First Year Of Life

Fetus in fetu is a condition in wich a fetiform calcified mass often presents in the abdomen of its host, a newborn. It is extremely rare condition, estimated once in 500,000 deliveries and has a 2: 1 male predominantly; with most patient presenting with an abdominal mass in the first year of life. 5,13 The term fetus in fetu is used to point out an unequal division of totipotential cells of blastocyst where the result is the inclusion of a small cellular mass in the more mature embryo. It was encapsulated, pedunculated and represents a malformed monozygotic, monochorionic, diamniotic parasitic twin. In 80% cases, fetus in fetu is located retroperitonealy but can be found in unusual location such as in oropharynx, neck, skull mediastinum, pelvis, iliac mesentery, adrenal gland, sacrococcygeal region and scrotal sac.

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Persistent hiccups as the presenting symptom of a pulmonary embolism

Chest Disease Reports ◽

10.4081/cdr.2012.e2 ◽

2012 ◽

Vol 2 (1) ◽

pp. 2

Author(s):

Steven Durning ◽

David J. Shaw ◽

Anthony J. Oliva ◽

Michael J. Morris

Keyword(s):

Computed Tomography ◽

Pulmonary Embolism ◽

Chest Radiograph ◽

Pulmonary Embolus ◽

Lower Lobe ◽

Initial Evaluation ◽

Unique Case ◽

Case Presentation ◽

History Of ◽

Symptomatic Bradycardia

An 81-year-old male with a history of symptomatic bradycardia controlled by a pacemaker presented to our institution with three days of persistent hiccups. He denied any pulmonary symptoms and his initial evaluation showed no evidence of tachypnea, tachycardia, or hypoxia. Pacemaker malfunction or migration of the pacer leads was ruled out as an etiology and no intracranial pathology was present. Admission chest radiograph was normal but a computed tomography of the chest demonstrated a left lower lobe pulmonary embolus. After treatment with anticoagulation was initiated, the hiccups resolved within the next week. This is a unique case presentation of hiccups as the only presenting symptom of an otherwise asymptomatic pulmonary embolism.

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