ABC news-fetus in fetus comes about when very early in the twin pregnancy, one fetus wraps around and envelop the other. the dominate fetus then grows and the fetus that would have been his twin lives on inside during the pregnancy; feeding off his host like a parasite. Usually both twins die before birth. but sometime the host twin survive.
A fetus in fetu can be considered alive, but only in the sense that its component tissues have not yet died or been eliminated. Thus, the life of a fetus in fetu is akin to that of a tumor in that its cells remain viable by way of normal metabolic activity. However, without the gestational conditions in utero with the amnion and placenta, a fetus in fetu can develop into, at best, an especially well differentiated teratoma; or, at worst, a high-grade metastatic teratocarcinoma. In terms of physical maturation, its organs have a working blood supply from the host, but all cases of fetus in fetu present critical defects, such as no functional brain, heart, lungs,gastrointestinal tract, or urinary tract. Accordingly, while a fetus in fetu can share select morphological features with a normal fetus, it has no prospect of any life outside of the host twin. Moreover, it poses clear threats to the life of the host twin on whom its own life dependsFetus in fetu may be a very highly differentiated form of dermoid cyst, itself a highly differentiated form of mature teratoma.Fetus in fetu may be a parasitic twin fetus growing within its host twin. Very early in a monozygotic twin pregnancy, in which both fetuses share a common placenta, one fetus wraps around and envelops the other. The enveloped twin becomes a parasite, in that its survival depends on the survival of its host twin, by drawing on the host twin’s blood supply. The parasitic twin is anencephalic (without a brain) and lacks some internal organs, and as such is almost always unable to survive on its own. As the normal twin has to “feed” the enveloped twin from the nutrients received over a single umbilical cord, it usually dies before birth Cases of fetus in fetu sometimes attract worldwide media attention. These cases are a small minority of the known cases and rarely overlap with cases reported in the medical literature, but they are widely accessible. * Alamjan Nematilaev was the surviving host of a fetus in fetu. In 2003, aged 7, his school physician in Kazakhstan referred him to hospital after movements were detected in the boy’s enlarged abdomen. An operation intended to remove a cyst uncovered the fetus of Alamjan’s identical twin brother, which had lived as parasitic growth inside the boy throughout his entire life. The fetus was comparatively highly developed, with hair, arms, fingers, nails, legs, toes, genitals, a head, and a vague approximation of a face. * In June 1999, the case of Sanju Bhagat a man from Nagpur, India attracted attention for the length of time (36 years) he had carried his parasitic “twin” inside his body, and the size of the growth. As Bhagat had no placenta, the growth had connected directly to his blood supply.* In March 2006, Doctors in Pakistan removed two fetuses from inside a two-month-old baby girl. * In November 2006, a Chilean boy in Santiago was diagnosed with fetus in fetu shortly before birth.* In August 2007, two month old Eljie Millapes from Baguio, the Philippines, was diagnosed with fetus in fetu. The parents of Millapes were alarmed by the abnormal growth of the abdomen of their baby. Doctors later discovered that she was suffering from fetus in fetu.* In January 2008, a two-month-old baby in Medan, Indonesia named Afiah Syafina was diagnosed with a tumor in her abdomen. An operation was done at January 19, 2008 which revealed the suspected tumor to actually be a fetus. * In May 2008, a two-inch (5 cm) embryo was removed from the belly of a 9-year-old girl at Larissa General Hospital in Greece after she was diagnosed with a tumor on the right side of her belly. The embryo was a fetus with a head, hair and eyes, but no brain or umbilical cord.* In October, 2008, a doctor in the USA removed a brain tumor that consisted of a foot and other body parts. This may have been a case of fetus in fetu or it may have been a teratoma.* In September 2009, one year old Kang Mengru from China was “pregnant” with her own twin. After 10 hours of complex surgery to remove the fetus, Kang’s family was told she could return home at the end of the month having made a full recovery