TERATOMA OF THE PANCREAS

Abstract

Pancreatic teratoma is an infrequent entity. Only a few cases have been reported in the world literature. The primary treatment for mature teratoma is radical surgery. The article presents a case of pancreatic teratoma in a 3-year-old patient. Teratoma was diagnosed preoperatively with an intravenous contrast-enhanced CT scan, which revealed that the common hepatic and splenic arteries enter the tumour walls. Intraoperative revision confirmed the CT data, and corporocaudal pancreatectomy with celiac axis resection (modified Appleby procedure) was performed to achieve R0 resection. In this case, the blood supply to the liver and stomach was derived from the superior mesenteric artery via the pancreaticoduodenal arcades and then through the gastroduodenal artery. The postoperative period was uneventful. The patient was discharged on the eighth day in satisfactory condition. Keywords: Teratoma, mature teratoma, pancreas, corporocaudal resection, celiac trunk.