Large gastric Teratoma: A rare intra-abdominal mass of infancy

Roumina Hasan, Vidya Monappa, Sandeep Kumar, Vijay Kumar

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 two- month-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. Exploratory 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.

Original languageEnglish
Pages (from-to)231-234
Number of pages4
JournalOman Medical Journal
Volume31
Issue number3
DOIs
Publication statusPublished - 01-05-2016

Fingerprint

Teratoma
Stomach
Abdomen
Germ Layers
Abdominal Cavity
Peritoneal Cavity
Pelvis
Ambulatory Surgical Procedures
Germ Cells
Laparotomy
India
Neoplasms
Fats
Tomography
Parturition
Pediatrics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hasan, Roumina ; Monappa, Vidya ; Kumar, Sandeep ; Kumar, Vijay. / Large gastric Teratoma : A rare intra-abdominal mass of infancy. In: Oman Medical Journal. 2016 ; Vol. 31, No. 3. pp. 231-234.
@article{7a0865370b754b72b216f13cde6f31c4,
title = "Large gastric Teratoma: A rare intra-abdominal mass of infancy",
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 two- month-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. Exploratory 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.",
author = "Roumina Hasan and Vidya Monappa and Sandeep Kumar and Vijay Kumar",
year = "2016",
month = "5",
day = "1",
doi = "10.5001/omj.2016.44",
language = "English",
volume = "31",
pages = "231--234",
journal = "Oman Medical Journal",
issn = "1999-768X",
publisher = "Oman Medical Specialty Board",
number = "3",

}

Large gastric Teratoma : A rare intra-abdominal mass of infancy. / Hasan, Roumina; Monappa, Vidya; Kumar, Sandeep; Kumar, Vijay.

In: Oman Medical Journal, Vol. 31, No. 3, 01.05.2016, p. 231-234.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Large gastric Teratoma

T2 - A rare intra-abdominal mass of infancy

AU - Hasan, Roumina

AU - Monappa, Vidya

AU - Kumar, Sandeep

AU - Kumar, Vijay

PY - 2016/5/1

Y1 - 2016/5/1

N2 - 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 two- month-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. Exploratory 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.

AB - 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 two- month-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. Exploratory 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.

UR - http://www.scopus.com/inward/record.url?scp=84964989661&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964989661&partnerID=8YFLogxK

U2 - 10.5001/omj.2016.44

DO - 10.5001/omj.2016.44

M3 - Article

AN - SCOPUS:84964989661

VL - 31

SP - 231

EP - 234

JO - Oman Medical Journal

JF - Oman Medical Journal

SN - 1999-768X

IS - 3

ER -