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Z Geburtshilfe Neonatol 2018; 222(03): 123-127
DOI: 10.1055/a-0605-5078
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Prenatal Diagnosis of Fetus in Fetu pregnancy

Pränatale Diagnose eines Fetus in Fetu
Malena Goette
1   Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany
,
Guido Seitz
2   Department of Pediatric Surgery, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
,
Reza Vahdad
2   Department of Pediatric Surgery, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
,
Florian Obermayr
2   Department of Pediatric Surgery, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
,
Kerstin Gummel
3   Center of Obstetrics and Gynecology, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
,
Andreas Mahnken
4   Department of Diagnostic and Interventional Radiology, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
,
Christian Enzensberger
1   Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany
,
Roland Axt-Fliedner
5   Division of Prenatal Medicine, Department of Obstretrics and Gynecology, Giessen, Justus-Liebig-University, Germany
› Author Affiliations
Further Information

Publication History

received 12 November 2017

accepted 22 March 2018

Publication Date:
19 June 2018 (online)

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Abstract

Fetus in fetus (FIF) represents an abnormal embryogenesis in monozygotic diamniotic twin gestation. It has been described in less than 200 cases worldwide. Differential diagnosis predominantly includes teratomas. The case presented here meets the accepted criteria of FIF and is one of the few prenatally diagnosed cases with FIF.

Zusammenfassung

In diesem Fallbericht werden die Kriterien einer Fetus-in-Fetu-Malformation erfüllt. Es ist einer der wenigen pränatal diagnostizieren Fälle und der einzige pränatale Fall mit extrafetalem Wachstum des parasitären Zwilling. Die wichtigste Differentialdiagnose eines Fetus in Fetu ist das Teratom. Die Therapie der Wahl ist die kompette Resektion, jedoch von dem Allgemeinzustand und zusätzlichen Fehlbildungen abhängig. Mit detaillierter Sonografie und moderner Bildgebung kann eine pränatale Diagnose gestellt werden und ermöglicht dadurch einen frühen und intedisziplinären Therapieansatz.

Key words

ultrasound - twin pregnancy - therapy - prenatal diagnostics - malformations - neonatology

Schlüsselwörter

Fehlbildung - Zwillingsschwangerschaft - Ultraschall - Therapie - Neonatologie - Pränataldiagnostik
 

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