Sagaya Fernando Mumbai: 6 November 22 A team of doctors at Apollo Multispecialty hospital in Triuchirappalli, Tamil Nadu, India, saved the life of a 33-years-old man whose neck was pierced through by a feet long iron rod. Karthikeyan, a resident of Ariyamangalam in the city, was watering the concrete slabs on the first floor of his under-construction house when he accidentally slipped and fell 15 to 20 feet down, on October 15. As he fell, a 5 feet long iron rod with serrated edges pierced through his neck and came out from the back. “Within fifteen minutes of the mishap, his relatives rushed him to our hospital which is in close vicinity,” informed Apollo Multispecialty Hospital, Triuchirappalli, Consultant General, Laparoscopic and Bariatric Surgeon Dr Mohamed Mansoor, who led the operating team. “On evaluation in emergency, it was seen that he had a 5 feet long iron rod penetrating into the anterior aspect of neck and exiting the posterior aspect of neck.
Story by Sumesh Rajan
Mumbai: 28 February 2018
“In this case, the surgery was tough as the undeveloped fetus was behind the intestine and between both the kidneys,” informed Dr. Rakesh Joshi, Head of the Department of Pediatric Surgery at Civil Hospital, Ahmedabad.
The infant named Prinsa, the first child of Manisha (23) and Motisingh (25) – a farmer from Kavant in Chhota Udaipur in Gujarat, was brought to the Civil Hospital In Ahmedabad after her parents noticed a fast growing lump in her abdomen two months ago.
“The formation is caused by the incomplete separation of twins, which fails to grow and instead becomes an internal part of the healthy twin. It is not a benign condition but as the fetus grows at an alarming rate it starts putting pressure on the organs of the healthy baby,” explained Dr. Joshi.
He added, “In this case, the undeveloped fetus had a normal vertebrae column, brain tissues, head, limb buds and an anal dimple.”
The surgery, headed by Dr. Joshi, was done by a team of six including three senior anesthetists – Dr. Namrata, Dr. Ramila, and Dr. Asit.
According to the hospital doctors, Prinsa’s mother did not get an antenatal sonography done during her pregnancy. “With various kinds of sonography available during pregnancy, it is not difficult to spot such abnormalities but these people are from a rural area where such facilities are not available,” said Dr. Joshi.
“The parents of the child noticed a lump like structure in the child but ignored it. This happened when the child was five months old. Since the lump was growing at an alarming rate, the parents got it checked in Vadodara and then came to our hospital,” said Dr. Joshi.
“On February 15, the baby was admitted to our hospital. Histopathology examination revealed fetus in fetu, and the surgery was successfully conducted on February 19. She is under observation and is recovering now, and will be discharged in a couple of days. There will be no future complications in the case and she will grow up normally,” said Dr. Joshi.
He said that according to medical literature there are only 200 cases of this condition to have been reported worldwide.
In a similar case in July 2017, a 7 cm half-formed fetus, with a brain and limbs, was found lying behind the stomach of its just twin brother at Mumbai, India.
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