Large Gastric Teratoma: A Rare Intra-abdominal Mass of Infancy

Hasan, Roumina and Monappa, Vidya and Kumar, Sandeep and Kumar, Vijay (2016) Large Gastric Teratoma: A Rare Intra-abdominal Mass of Infancy. Oman Medical Journal, 31 (3). pp. 231-234.

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Abstract

Amongst the varied, diverse causes of intraabdominal masses in infancy and early childhood, gastric teratomas (GTs) account for a very small proportion. A worldwide literature search reveals only around one hundred cases of GT and also supports the fact that its preoperative diagnosis remains elusive. Here we report the case of a twomonth-old male who presented to the pediatric surgery outpatient department of Kasturba Medical College and Hospital, Karnataka, India, with progressive distension of abdomen since birth. Clinically, a large firm, non-mobile and non-tender mass involving all four quadrants of the abdomen was seen. Ultrasound revealed a large solid-cystic mass with internal septations extending from the epigastrium up to the pelvis. Computed tomography revealed a large intraperitoneal fat containing solid-cystic mass lesion showing curvilinear and chunky areas of calcification, with the mass focally indenting the posterior gastric wall and showing focal polypoidal intragastric extension. Explorator laparotomy revealed a large cystic tumor with a solid component, arising from lesser curvature of the stomach, showing focal intraluminal extension across the posterior gastric wall, and occupying the whole lesser sac and abdominal cavity. The tumor was excised in toto along with the body of the stomach. Histopathological examination showed mature tissue derived from all three germ cell layers and confirmed the diagnosis of mature gastric teratoma. The patient was disease free at one-year follow-up.

Item Type: Article
Uncontrolled Keywords: Teratoma; CT scan; Infancy
Subjects: Medicine > MMMC Manipal > Pathology
Medicine > KMC Manipal > Pathology
Medicine > KMC Manipal > Paediatric Surgery
Medicine > KMC Manipal > Radiology
Depositing User: KMC Library
Date Deposited: 11 May 2016 09:07
Last Modified: 11 May 2016 09:07
URI: http://eprints.manipal.edu/id/eprint/146026

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