Frontiers in Surgery (May 2023)

Case report and review of the literature: rare fetus-in-fetu presenting as oropharyngeal epignathus

  • Daniel Runggaldier,
  • Daniel Runggaldier,
  • Michael Reinehr,
  • Michael Reinehr,
  • Hergen Friedrich,
  • Georg Henze,
  • Dominic Good,
  • Claudine Gysin

DOI
https://doi.org/10.3389/fsurg.2023.1122327
Journal volume & issue
Vol. 10

Abstract

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An epignathus is caused by a continuous spectrum of masses of the oral cavity or oropharynx ranging in its entity from mature teratoma to the exceedingly rare fetus-in-fetu. Due to its location, regardless of the entity, the occurrence of an epignathus is frequently associated with life threatening airway obstruction. Here we demonstrate a case of a fetus-in-fetu presenting as an epignatus. We describe its successful management and review the available literature. Early diagnosis and knowledge of the preoperative workup are essential to enable a multidisciplinary management. Once the airway is secured, surgical excision is the treatment of choice often resulting in a good clinical outcome and prognosis.

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