The Ex Utero Intrapartum Treatment (EXIT) procedure used for airway control in a newborn with cervical fetus in fetu: a rare case.
Fetus in fetu is a condition in which there is a monozygotic diamniotic fetus encased within the body of its larger more developed twin. We report a case of airway obstruction in a full-term fetus caused by fetus in fetu. Prenatal ultrasound revealed a large cervical mass compressing the neonate's trachea and esophagus. The Ex Utero Intrapartum Treatment procedure was utilized to secure the fetus's airway. Upon resection, a fetiform structure, covered by skin with vertebral tissue and two appendages was appreciated. To our knowledge, this is the first reported case of cervical fetus in fetu in the literature.
Woodard
Troy D
TD
Department of Otolaryngology Head & Neck Surgery, Loyola University Medical Center, IL 60153, United States.
Yong
Sherri
S
Hotaling
Andrew J
AJ
D000328:Adult; D000402:Airway Obstruction / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005333:Fetus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D013514:Surgical Procedures, Operative / Q000379:methods; D014057:Tomography, X-Ray Computed; D014430:Twins, Monozygotic; D016216:Ultrasonography, Prenatal