Case Report: The Medical and Surgical Management of an Infant With Extreme Prematurity and Fetus-In-Fetu

Frontiers in Surgery

article

Raphael C. Sun¹  Lily S. Cheng²  Rita H. Shah³  Pablo Lohmann³  Nahir Cortes-Santiago⁴  Pamela D. Ketwaroo⁵  Sundeep G. Keswani²  Alice King²  Timothy C. Lee² 

[1] Division of Pediatric Surgery, Doernbecher Children's Hospital, Oregon Health & Science University;Division of Pediatric Surgery, Texas Children's Hospital, Baylor College of Medicine;Division of Neonatology, Texas Children's Hospital, Baylor College of Medicine;Department of Pathology & Immunology, Texas Children's Hospital, Baylor College of Medicine;Edward B. Singleton Department of Radiology, Texas Children's Hospital, Baylor College of Medicine

关键词: fetal;    Fetus-in-fetu;    surgery;    prematurity;    congenital;    diagnosis;    etiology;   

DOI  :  10.3389/fsurg.2022.856837

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Fetus-in-fetu (FIF) is a rare congenital anomaly where a parasitic twin is within the body of a host twin. FIF is reported to occur in 1:500,000 live births. Herein, we report the first case of the medical and surgical treatment of a FIF patient who was born with extreme prematurity at 25-weeks gestation. With the multi-disciplinary coordination of neonatology, surgery, and interventional radiology, the patient was able to achieve a window of medical stability 4 weeks after birth. A decision was made at that time to proceed with an intra-abdominal and perineal resection of the FIF. The FIF was successfully resected and the patient was able to recover from the operation, with eventual discharge from the NICU. In conclusion, extreme prematurity and FIF may be amenable to surgical resection and a multi-disciplinary approach is crucial to achieve the desired outcome.

【 授权许可】

CC BY