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Anesthetic Care During Exploratory Laparotomy And Excision Of A Fetus-In-Fetu With A Combined General-Regional Anesthetic Technique Using A Caudal Epidural Catheter – Spinal Injection

The article summarizes a case study of a 1-day-old neonate with a rare congenital anomaly called fetus-in-fetu (FIF). FIF occurs when one twin is found within the body of the other twin. The pathology is believed to occur during embryogenesis of a twin pregnancy with unequal division of the blastocele. The most common presentation is as an abdominal mass during the neonatal period or infancy, but late diagnosis in adulthood is also possible. The article discusses the use of a combined general-regional technique using caudal epidural anesthesia for the excision of the FIF in the neonate. It also provides information on the etiology, presentation, appropriate workup, and treatment of FIF. Anesthetic care for the excision of FIF in previous cases is also reviewed. The article concludes with a list of keywords related to the topic

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced treatment clinic on Harley Street UK

Published article

Fetus-in-fetu (FIF) is a rare, congenital anomaly involving the presence of one of a pair of twins within the body of the other. It is postulated that this pathology occurs during embryogenesis of a diamniotic-monochorionic twin pregnancy with unequal division of the blastocele, which results in monozygotic, monochorionic, and diamniotic twins of unequal sizes. Presentation as an abdominal mass during the neonatal period or infancy is most common, although late diagnosis during the adult years…

Spine Epidural Lumbar Caudal transforaminal Expert. Best Spinal Surgeon UK
Abstract Fetus-in-fetu (FIF) is a rare, congenital anomaly involving the presence of one of a pair of twins within the body of the other. It is postulated that this pathology occurs during embryogenesis of a diamniotic-monochorionic twin pregnancy with unequal division of the blastocele, which results in monozygotic, monochorionic, and diamniotic twins of unequal sizes.,

Abstract

Fetus-in-fetu (FIF) is a rare, congenital anomaly involving the presence of one of a pair of twins within the body of the other. It is postulated that this pathology occurs during embryogenesis of a diamniotic-monochorionic twin pregnancy with unequal division of the blastocele, which results in monozygotic, monochorionic, and diamniotic twins of unequal sizes. Presentation as an abdominal mass during the neonatal period or infancy is most common, although late diagnosis during the adult years may also occur. We report a 1-day-old, full-term female neonate who presented for exploratory laparotomy and excision of a FIF. We present the use of a combined general-regional technique using caudal epidural anesthesia. The etiology, presentation, appropriate workup, and treatment of FIF are presented. Previous anecdotal reports of anesthetic care for excision of FIF are reviewed.

Keywords: Caudal epidural anesthesia; Congenital anomaly; Fetus-in-fetu; Pediatric anesthesiology; Teratoma.

The London Spine Unit : most experienced treatment clinic on Harley Street UK

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Anesthetic Care During Exploratory Laparotomy and Excision of a Fetus-in-Fetu With a Combined General-Regional Anesthetic Technique Using a Caudal Epidural Catheter

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Abstract Fetus-in-fetu (FIF) is a rare, congenital anomaly involving the presence of one of a pair of twins within the body of the other. It is postulated that this pathology occurs during embryogenesis of a diamniotic-monochorionic twin pregnancy with unequal division of the blastocele, which results in monozygotic, monochorionic, and diamniotic twins of unequal sizes.
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