Prenatal Diagnosis of Fetus in Fetu pregnancy

Malena Goette; Guido Seitz; Reza Vahdad; Florian Obermayr; Kerstin Gummel; Andreas Mahnken; Christian Enzensberger; Roland Axt-Fliedner

doi:10.1055/a-0605-5078

Zeitschrift für Geburtshilfe und Neonatologie, Inhaltsverzeichnis

Z Geburtshilfe Neonatol 2018; 222(03): 123-127
DOI: 10.1055/a-0605-5078

Case Report

Prenatal Diagnosis of Fetus in Fetu pregnancy

Pränatale Diagnose eines Fetus in Fetu

Autoren

Malena Goette

¹Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany
Guido Seitz

²Department of Pediatric Surgery, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
Reza Vahdad

²Department of Pediatric Surgery, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
Florian Obermayr

²Department of Pediatric Surgery, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
Kerstin Gummel

³Center of Obstetrics and Gynecology, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
Andreas Mahnken

⁴Department of Diagnostic and Interventional Radiology, University Hospital UKGM, Philipps University of Marburg, Marburg, Germany
Christian Enzensberger

¹Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany
Roland Axt-Fliedner

⁵Division of Prenatal Medicine, Department of Obstretrics and Gynecology, Giessen, Justus-Liebig-University, Germany

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

Volltext

Referenzen

References
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