A complex surgery has saved a nine-month-old baby with 7kg “foetus-in-a-foetu” tumour during the lockdown. Wearing helmets, goggles and other protective gears, doctors of AMRI Mukundapur operated on the baby from Jharkhand, Pratik Narayan, for five hours on April 13.
His parents had knocked on the doors of four other hospitals, including Tata Medical Centre where it was presumed that the tumour was malignant. “Soon after we came to know that Pratik needed a surgery, we wasted no time. We took a train and reached Kolkata on March 31. We ran from pillar to post, but no hospital was ready for the surgery. Everyone said that we would have to return after the lockdown. Eventually, we landed up at AMRI Hospital on April 11. The doctors admitted him immediately and performed the surgery on April 13,” Ravi Kumar, father of the baby and a medical representative from Dhanbad told TOI on Friday.
The baby had been running high fever for several days and complained of acute abdominal pain. “He was diagnosed with a large abdominal tumour by a local physician in Jharkhand. The lump was felt at first by his mom. We planned an urgent surgery,” said consultant pediatric surgeon Subhasis Saha, who led the team of surgeons.
Hiralal Konar, another senior surgeon, said, “The baby’s CT scan showed a foetus-like growth, which is often called ‘fetus in fetu’ or a ‘foetus in a foetu’ tumour. It is a developmental abnormality, in which a mass of tissue resembling a fetus forms inside the body. One theory is that the mass begins as a normal fetus but becomes enveloped inside its twin. The other theory is that the mass is a highly developed teratoma.”
Saha said, “It was an extremely difficult surgery as the tumour was very big, arising from the left adrenal gland and was compressing the nearby organs like the left kidney, stomach and the spleen. It was fixed to the large vessel of the body called aorta. It was a challenging task to separate the tumour from the aorta. The aortic rent was repaired after cross clamping.”
The doctors said that the surgery had become too complex, especially since they had covered themselves with helmets, goggles and other protective gears. “The baby went through a stormy post-operative period and needed elective ventilation for 48 hours. He is doing well now,” added Saha.
Source: Times of India