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Resection of ruptured hepatic teratoma in an adult
Introduction: Extragonadal locations of teratomas are uncommonly reported in the literature. Teratomas are neoplasms usually found in the gonadal organs: ovaries and testis. The majority of teratomas are found in the pediatric age group. Furthermore, teratomas originating in the liver are exceedingl...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259038/ https://www.ncbi.nlm.nih.gov/pubmed/30567058 http://dx.doi.org/10.1016/j.ijscr.2018.11.032 |
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author | Ramkumar, Jonathan Best, Andrew Gurung, Ananta Dufresne, Anne-Marie Melich, George Vikis, Elena MacKenzie, Shawn |
author_facet | Ramkumar, Jonathan Best, Andrew Gurung, Ananta Dufresne, Anne-Marie Melich, George Vikis, Elena MacKenzie, Shawn |
author_sort | Ramkumar, Jonathan |
collection | PubMed |
description | Introduction: Extragonadal locations of teratomas are uncommonly reported in the literature. Teratomas are neoplasms usually found in the gonadal organs: ovaries and testis. The majority of teratomas are found in the pediatric age group. Furthermore, teratomas originating in the liver are exceedingly rare with only 11 case reports in adult populations. Presentation of case: We present a case of a 65 year-old female who presented to hospital with sudden onset abdominal pain from a centrally located ruptured hepatic teratoma on CT scan. The patient underwent urgent surgery. The diagnosis of cystic mature teratoma was confirmed on histopathology. Patient was discharged on post-operative day 5. At 12 week follow-up, no post-operative complications were identified. Discussion: Hepatic teratomas are a rarely encountered neoplasm, especially in the adult population. Our case report is unique, as it represents the only clinical presentation of mass rupture in an adult liver teratoma. CT scan identified a well circumscribed mass containing adipose tissue, fluid, and calcifications characteristic of teratoma. Complete surgical resection is mainstay treatment. A definitive diagnosis of a mature teratoma is confirmed by histopathological findings. Conclusion: Presented is a rare case of ruptured hepatic teratoma in an adult who underwent surgical resection. |
format | Online Article Text |
id | pubmed-6259038 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-62590382018-12-05 Resection of ruptured hepatic teratoma in an adult Ramkumar, Jonathan Best, Andrew Gurung, Ananta Dufresne, Anne-Marie Melich, George Vikis, Elena MacKenzie, Shawn Int J Surg Case Rep Article Introduction: Extragonadal locations of teratomas are uncommonly reported in the literature. Teratomas are neoplasms usually found in the gonadal organs: ovaries and testis. The majority of teratomas are found in the pediatric age group. Furthermore, teratomas originating in the liver are exceedingly rare with only 11 case reports in adult populations. Presentation of case: We present a case of a 65 year-old female who presented to hospital with sudden onset abdominal pain from a centrally located ruptured hepatic teratoma on CT scan. The patient underwent urgent surgery. The diagnosis of cystic mature teratoma was confirmed on histopathology. Patient was discharged on post-operative day 5. At 12 week follow-up, no post-operative complications were identified. Discussion: Hepatic teratomas are a rarely encountered neoplasm, especially in the adult population. Our case report is unique, as it represents the only clinical presentation of mass rupture in an adult liver teratoma. CT scan identified a well circumscribed mass containing adipose tissue, fluid, and calcifications characteristic of teratoma. Complete surgical resection is mainstay treatment. A definitive diagnosis of a mature teratoma is confirmed by histopathological findings. Conclusion: Presented is a rare case of ruptured hepatic teratoma in an adult who underwent surgical resection. Elsevier 2018-11-22 /pmc/articles/PMC6259038/ /pubmed/30567058 http://dx.doi.org/10.1016/j.ijscr.2018.11.032 Text en © 2018 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ramkumar, Jonathan Best, Andrew Gurung, Ananta Dufresne, Anne-Marie Melich, George Vikis, Elena MacKenzie, Shawn Resection of ruptured hepatic teratoma in an adult |
title | Resection of ruptured hepatic teratoma in an adult |
title_full | Resection of ruptured hepatic teratoma in an adult |
title_fullStr | Resection of ruptured hepatic teratoma in an adult |
title_full_unstemmed | Resection of ruptured hepatic teratoma in an adult |
title_short | Resection of ruptured hepatic teratoma in an adult |
title_sort | resection of ruptured hepatic teratoma in an adult |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259038/ https://www.ncbi.nlm.nih.gov/pubmed/30567058 http://dx.doi.org/10.1016/j.ijscr.2018.11.032 |
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