“…Fetus-in-fetu is usually single, however possibly multiple, aberration of monozygotic diamniotic twinning in which unequal division of the totipotent inner cell mass of the developing blastocyst leads to the inclusion of a smaller cell mass within a maturing sister embryo. [1] Thakral et al [2] reported equal male and female prevalence but Patankar et al [3] and Federici et al [4] noted a 2:1 male predominance. The common presentation of fetus in fetu is most commonly in the abdomen, almost 80% in the retroperitoneum followed by abdomen, scrotum, cranium, kidneys, adrenals, mediastinum, and lymph nodes etc.…”