Dysphagia caused by a fetus-in-fetu in a 27-year-old man

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Presentation transcript:

Dysphagia caused by a fetus-in-fetu in a 27-year-old man Malek G Massad, MD, Lawrence Kong, MD, Enrico Benedetti, MD, Daniel Resnick, MD, Luna Ghosh, MD, Alexander S Geha, MD, Herand Abcarian, MD The Annals of Thoracic Surgery Volume 71, Issue 4, Pages 1338-1341 (April 2001) DOI: 10.1016/S0003-4975(00)02291-8

Fig 1 Plain radiogram of the chest and abdomen shows a retrocardiac mass with elevation of the right hemidiaphragm and superior displacement and effacement of the carina. An ossified density, the shape of a mandible with four distinct molar teeth contained within a cavity with a calcific rim, was noted in the right upper quadrant. The Annals of Thoracic Surgery 2001 71, 1338-1341DOI: (10.1016/S0003-4975(00)02291-8)

Fig 2 An upper gastrointestinal series shows a narrowed, laterally displaced distal esophagus and stomach with narrowing at the gastroesophageal junction. The Annals of Thoracic Surgery 2001 71, 1338-1341DOI: (10.1016/S0003-4975(00)02291-8)

Fig 3 CT scan of the abdomen shows a large upper retroperitoneal mass measuring 22×18×14 with calcified rim. Multiple densities within the mass represent fat, fluid, soft tissue and bone. The Annals of Thoracic Surgery 2001 71, 1338-1341DOI: (10.1016/S0003-4975(00)02291-8)

Fig 4 Fetus-in-fetu. The Annals of Thoracic Surgery 2001 71, 1338-1341DOI: (10.1016/S0003-4975(00)02291-8)