Portal teratoma causing obstructive jaundice in children: a rarity

Bagga, Deepak; Jindal, Bibekanand; Naredi, Bikash Kumar; Yadav, Devendra Kumar; Acharya, Samir; Mahato, Rajiv; Gupta, Kusum

doi:10.1016/j.jpedsurg.2012.04.016

Cited by 7 publications

(9 citation statements)

References 9 publications

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“…Frexes et al [2] Akimov et al [3] Kim et al [4] Demircan et al [5] Wang et al [6] Sasaki et al [7] Ukiyama et al [8] Souftas et al [9] Bagga et al [10] Our case Age or in structures such as teeth or bones, CT is generally the most helpful imaging modality for diagnosis [7] . An extensive review of the literature identified nine reported cases of hepatoduodenal teratoma [2][3][4][5][6][7][8][9][10] .…”

Section: Discussionmentioning

confidence: 87%

“…An extensive review of the literature identified nine reported cases of hepatoduodenal teratoma [2][3][4][5][6][7][8][9][10] . Six of the described cases were in children [2][3][4][5]8,10] , and the oldest patient identified was 38 years old at the time of diagnosis [7] . A small gender difference is evident, as the lesions were more often described in women [5,6,9,10] .…”

Section: Discussionmentioning

confidence: 99%

“…Six of the described cases were in children [2][3][4][5]8,10] , and the oldest patient identified was 38 years old at the time of diagnosis [7] . A small gender difference is evident, as the lesions were more often described in women [5,6,9,10] . Clinical manifestations were variable, including jaundice [2,4,10] , portal hypertension [3,6] and a palpable abdominal mass [7,8,10] .…”

Section: Discussionmentioning

confidence: 99%

“…A small gender difference is evident, as the lesions were more often described in women [5,6,9,10] . Clinical manifestations were variable, including jaundice [2,4,10] , portal hypertension [3,6] and a palpable abdominal mass [7,8,10] . Some patients demonstrated elevated levels of serum alphafetoprotein, carcinoembryonic antigen and carbohydrate antigen 19-9, but these do not appear to be clinically useful [7] .…”

Section: Discussionmentioning

confidence: 99%

“…Although the majority of teratomas are congenitally present in the gonads of men and women, they have been identified in extra-gonadal sites, such as the anterior mediastinum, retroperitoneum and sacrococcygeal regions [1] . Teratomas in the hepatoduodenal ligament are extremely rare, with only nine cases described in the literature [2][3][4][5][6][7][8][9][10] (Table 1). We report a case of hepatoduodenal ligament teratoma in an adult female patient examined for cholelithiasis-related abdominal pain.…”

Section: Introductionmentioning

confidence: 99%

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Rare cause of abdominal incidentaloma: Hepatoduodenal ligament teratoma

Jeismann

Dumarco

Loreto

et al. 2014

WJGS

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Author contributions: Jeismann VB, Dumarco RB and Jukemura J performed the procedure; Jeismann VB and Dumarco RB reviewed the literature; di Loreto C, Barbuti RC and Jukemura J analyzed and reviewed the paper; Jeismann VB and Jukemura J wrote the paper. AbstractThe occurrence of a hepatoduodenal ligament teratoma is extremely rare, with only a few cases reported in the literature. This case report describes the discovery of a hepatoduodenal ligament lesion revealed during abdominal ultrasonography for cholelithiasis-related abdominal pain in a 27-year-old female. Cross-sectional imaging identified a 5 cm × 4 cm heterogeneous mass of fat tissue with irregular calcification located in the posterior-superior aspect of the head of the pancreas. An encapsulated lesion showing no invasion to the common bile duct or adjacent organs and vessels was exposed during laparotomy and resected. Intraoperative cholangiography during the cholecystectomy showed no abnormalities. The postoperative course was uneventful. Pathological analysis of the resected mass indicated hepatoduodenal ligament teratoma.This case report demonstrates that cross-sectional imaging, such as computed tomography, can reveal suspected incidences of this rare type of teratoma, which can then be confirmed after pathologic analysis of the specimen. The prognosis after complete surgical resection of lesions presenting with benign pathological features is excellent.

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