Fetus in fetus (FIF) is an extremely rare congenital condition characterized by the parasitic development of a malformed fetal twin within a normal second twin’s body. The localization is mostly abdominal in the retroperitoneum. Thoracic localization is extremely rare. In this clinical case, a 5 month old female infant weighing 5 kg presented with a chest mass causing respiratory distress. We realized a chest CT-Scan; the latter revealed a heterogeneous mass, completely occupying the left hemithorax. Imaging studies confirmed the presence of the fetus in fetus occupying the entire left hemithorax and mediastinum, pushing the heart to the right. A complete resection of the mass could be performed under general anesthesia and orotracheal intubation (GA + OTI). The monitoring involved ECG, SpO2, NIBP, PR, T°, and Capnometry. The ventilation was first mechanical and secondarily manual. The patient did not receive unipulmonary ventilation nor central IV line. Postoperative period marked by volume overload, anemia, cardiac arrest, with successful resuscitation. Histopathology studies and imaging confirmed the diagnosis. On D9, she was discharged from pediatric critical care and from hospital on day ten postoperative. She presented in good clinical condition after a 3-month follow-up. We report this case in order to show how we took care of this FIF case in the precarious conditions.
| Published in | American Journal of Pediatrics (Volume 7, Issue 4) |
| DOI | 10.11648/j.ajp.20210704.13 |
| Page(s) | 198-202 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Fetus in Fetus, Chest Mass, Anesthetic Management, Infant
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APA Style
Joseph Akodjènou, Abdel-Kémal Bori Bata, Antoine Séraphin Gbénou, Médard Guedenon, Morgiane Houngbadji, et al. (2021). Anesthetic Management of an Intrathoracic Fetus in Fetus Case in a 5 Months Old Infant at a Low Resources African Sub-saharan Hospital. American Journal of Pediatrics, 7(4), 198-202. https://doi.org/10.11648/j.ajp.20210704.13
ACS Style
Joseph Akodjènou; Abdel-Kémal Bori Bata; Antoine Séraphin Gbénou; Médard Guedenon; Morgiane Houngbadji, et al. Anesthetic Management of an Intrathoracic Fetus in Fetus Case in a 5 Months Old Infant at a Low Resources African Sub-saharan Hospital. Am. J. Pediatr. 2021, 7(4), 198-202. doi: 10.11648/j.ajp.20210704.13
AMA Style
Joseph Akodjènou, Abdel-Kémal Bori Bata, Antoine Séraphin Gbénou, Médard Guedenon, Morgiane Houngbadji, et al. Anesthetic Management of an Intrathoracic Fetus in Fetus Case in a 5 Months Old Infant at a Low Resources African Sub-saharan Hospital. Am J Pediatr. 2021;7(4):198-202. doi: 10.11648/j.ajp.20210704.13
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Download@article{10.11648/j.ajp.20210704.13,
author = {Joseph Akodjènou and Abdel-Kémal Bori Bata and Antoine Séraphin Gbénou and Médard Guedenon and Morgiane Houngbadji and Eulalie Sansuamou and Maroufou Jules Alao and Eugène Zoumènou and Jean Etienne Bazin and Francis Veyckemans},
title = {Anesthetic Management of an Intrathoracic Fetus in Fetus Case in a 5 Months Old Infant at a Low Resources African Sub-saharan Hospital},
journal = {American Journal of Pediatrics},
volume = {7},
number = {4},
pages = {198-202},
doi = {10.11648/j.ajp.20210704.13},
url = {https://doi.org/10.11648/j.ajp.20210704.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210704.13},
abstract = {Fetus in fetus (FIF) is an extremely rare congenital condition characterized by the parasitic development of a malformed fetal twin within a normal second twin’s body. The localization is mostly abdominal in the retroperitoneum. Thoracic localization is extremely rare. In this clinical case, a 5 month old female infant weighing 5 kg presented with a chest mass causing respiratory distress. We realized a chest CT-Scan; the latter revealed a heterogeneous mass, completely occupying the left hemithorax. Imaging studies confirmed the presence of the fetus in fetus occupying the entire left hemithorax and mediastinum, pushing the heart to the right. A complete resection of the mass could be performed under general anesthesia and orotracheal intubation (GA + OTI). The monitoring involved ECG, SpO2, NIBP, PR, T°, and Capnometry. The ventilation was first mechanical and secondarily manual. The patient did not receive unipulmonary ventilation nor central IV line. Postoperative period marked by volume overload, anemia, cardiac arrest, with successful resuscitation. Histopathology studies and imaging confirmed the diagnosis. On D9, she was discharged from pediatric critical care and from hospital on day ten postoperative. She presented in good clinical condition after a 3-month follow-up. We report this case in order to show how we took care of this FIF case in the precarious conditions.},
year = {2021}
}
TY - JOUR T1 - Anesthetic Management of an Intrathoracic Fetus in Fetus Case in a 5 Months Old Infant at a Low Resources African Sub-saharan Hospital AU - Joseph Akodjènou AU - Abdel-Kémal Bori Bata AU - Antoine Séraphin Gbénou AU - Médard Guedenon AU - Morgiane Houngbadji AU - Eulalie Sansuamou AU - Maroufou Jules Alao AU - Eugène Zoumènou AU - Jean Etienne Bazin AU - Francis Veyckemans Y1 - 2021/10/28 PY - 2021 N1 - https://doi.org/10.11648/j.ajp.20210704.13 DO - 10.11648/j.ajp.20210704.13 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 198 EP - 202 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20210704.13 AB - Fetus in fetus (FIF) is an extremely rare congenital condition characterized by the parasitic development of a malformed fetal twin within a normal second twin’s body. The localization is mostly abdominal in the retroperitoneum. Thoracic localization is extremely rare. In this clinical case, a 5 month old female infant weighing 5 kg presented with a chest mass causing respiratory distress. We realized a chest CT-Scan; the latter revealed a heterogeneous mass, completely occupying the left hemithorax. Imaging studies confirmed the presence of the fetus in fetus occupying the entire left hemithorax and mediastinum, pushing the heart to the right. A complete resection of the mass could be performed under general anesthesia and orotracheal intubation (GA + OTI). The monitoring involved ECG, SpO2, NIBP, PR, T°, and Capnometry. The ventilation was first mechanical and secondarily manual. The patient did not receive unipulmonary ventilation nor central IV line. Postoperative period marked by volume overload, anemia, cardiac arrest, with successful resuscitation. Histopathology studies and imaging confirmed the diagnosis. On D9, she was discharged from pediatric critical care and from hospital on day ten postoperative. She presented in good clinical condition after a 3-month follow-up. We report this case in order to show how we took care of this FIF case in the precarious conditions. VL - 7 IS - 4 ER -
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