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Ann Thorac Surg 2001;71:1338-1341
© 2001 The Society of Thoracic Surgeons

Case report

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

Malek G. Massad, MDa, Lawrence Kong, MDa, Enrico Benedetti, MDa, Daniel Resnick, MDa, Luna Ghosh, MDb, Alexander S. Geha, MDa, Herand Abcarian, MDa

a Department of Surgery, The University of Illinois at Chicago, Chicago, Illinois, USA
b Department of Pathology, The University of Illinois at Chicago, Chicago, Illinois, USA

Accepted for publication May 14, 2000.

Address reprint requests to Dr Massad, Division of Cardiothoracic Surgery (M/C 958), The University of Illinois at Chicago, 840 S Wood St CSB, Suite 417, Chicago, IL 60612
e-mail: mmassad{at}uic.edu

Mechanical obstruction of the distal esophagus by a fetus-in-fetu is an extremely rare condition that has not been previously reported. We present the case of a 27-year-old man who presented with dysphagia caused by fetus-in-fetu contained within a retroperitoneal cystic cavity. The tumor, noticed since childhood, did not cause any symptoms until a year before presentation when symptoms of dysphagia developed. We propose including this entity in the differential diagnosis of a retroperitoneal mass.




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