PMC5295181_01
Frontal radiograph showing multiple dense radio-opacities in the right upper quadrant of the abdomen, resembling well-formed limb bones and spine.
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On imaging, a frontal radiograph of the abdomen showed multiple dense radio-opacities in the right upper quadrant of the abdomen resembling well-formed limb bones and spine (Figures 1, 2).
Magnified view of the radiograph from Figure 1; Magnified view: blue arrow - limb bones; red arrow - spine; green arrow - pelvic bones.
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On imaging, a frontal radiograph of the abdomen showed multiple dense radio-opacities in the right upper quadrant of the abdomen resembling well-formed limb bones and spine (Figures 1, 2).
Sagittal multiplanar reformats of contrast-enhanced computed tomography of the abdomen. Blue arrows are showing. (A) Spine; (B) Rib; (C) Limb bone.
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On contrast-enhanced computed tomography of the abdomen (Figures 3, 4) with a 3D-volume-rendering technique (Figure 5), a heterogenous, well-circumscribed soft tissue mass was noted in the right anterior pararenal space in a suprarenal location.
Coronal multiplanar reformat of contrast-enhanced computed tomography of the abdomen. Blue arrow point to the ribs and red arrow to the spine.
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On contrast-enhanced computed tomography of the abdomen (Figures 3, 4) with a 3D-volume-rendering technique (Figure 5), a heterogenous, well-circumscribed soft tissue mass was noted in the right anterior pararenal space in a suprarenal location.
Volume rendered CT image showing Fetus in fetu.
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On contrast-enhanced computed tomography of the abdomen (Figures 3, 4) with a 3D-volume-rendering technique (Figure 5), a heterogenous, well-circumscribed soft tissue mass was noted in the right anterior pararenal space in a suprarenal location.
Photos of Intraoperative gross specimens. (A) Retroperitoneal mass covered with sac; (B) Specimen showing hair and limb buds; (C) Partial differentiation of vertebrae.
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On laparotomy, a right upper quadrant retroperitoneal mass (Figure 6A),~10x12 cm in size, covered with a sac was noted displacing the liver towards the left side and the right kidney anteriorly, stretching the right renal vessels. On opening the sac (Figure 6B, 6C), 50 ml of vernix caseosa, along with a malformed fetus with an anencephalic head, spine, upper and lower limb buds with nails and partially differentiated digits were noted.