Life-Threatening Mediastinal Teratoma of Infant Requiring Emergency Surgical Removal

Author:

Piber Nicole1,Weichert Wilko2,Hörer Jürgen1,Ono Masamichi1

Affiliation:

1. Deutsches Herzzentrum München des Freistaates Bayern, Munchen, Bayern, Germany

2. Technical University of Munich Institute of Pathology and Pathological Anatomy, Munchen, Bayern, Germany

Abstract

Abstract Background Teratoma is a tumor derived from fetal germ cells with aberrant differentiation. Case Description A 3-month-old infant with a mediastinal tumor was referred to our heart center. She presented with progressive dyspnea, cyanosis, and the need to be manually ventilated. The computed tomography scan displayed a huge tumor restricting the distal trachea including the bifurcation. An emergent operation was performed and the tumor was completely removed. Histological examination confirmed a mature teratoma. Conclusion In such life-threatening situation, the early detection and the immediate operation are very important for the management of rapidly-progressing mediastinal teratomas compressing the respiratory tract.

Publisher

Georg Thieme Verlag KG

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