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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...

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Autores principales: Ramkumar, Jonathan, Best, Andrew, Gurung, Ananta, Dufresne, Anne-Marie, Melich, George, Vikis, Elena, MacKenzie, Shawn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
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.
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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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