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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
INTRAHEPATIC FOETUS IN FOETU IN ADULT MALE: A CASE REPORT AND REVIEW OF THE LITERATURE
Author
Krishna Gopal1*, Sanjeev Kumar2, Pradeep Jaisawal3, K H Raghwendra4, S K Jha5, Ashish Prasad6, Ashwani Kumar7
Email
gopakrishh@gmail.com
keyword
Foetus in foetu, Intrahapatic foetus, Intrahapatic teratoma.
Abstract
Foetus in foetu is one of the rarest pathological conditions due to abnormal embryogenesis resulting unequal division of totipotent cells of blastocyst. Basically it is due to aberration of monozygotic diamniotic twin where a malformed foetus is formed as small cellular mass in the body of a more mature sister embryo. Usually such conditions come in notice during infancy and childhood but very rarely it may incidentally found in adulthood. Majority are found retroperitoneal in upper abdominal region but as reported rarely it may be located at sacrococcygeal region, intrathoracic or mediastinum, pelvis, intra cranial, intraventricular, intrarenal, intraoral, lymph nodes, adrenal gland, neck, undescended testis and scrotum. Its intrahepatic location is reported earlier only by few authors especially during infancy but not reported in adulthood. In this article we present a case of intrahepatic foetus in foetu in a 30 years male which was initially diagnosed as intrahepatic teratoma or partially healed hydatid cyst complicated by gas forming organism. Ultrasonography and CT scan showed a well defined cavitary mass of approximately 8×6 cm size with few calcifications in the lower part of the right lobe of liver. Complete surgical excision under general anaesthesia was done and after macroscopic and microscopic analysis accompanied by review of literature confirmed the mass had features consistent with a foetus in foetu.
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