Mature Gastric Teratoma in a Female Infant Associated with Malrotation:
A Case Report

 

Maja Zečević¹, Zoran Marjanović^1,2, Dragoljub Živanović^1,2, Milan Slavković³

 

¹Clinic for Pediatric Surgery and Orthopedics, University Clinical Center Niš, Niš, Serbia
²Faculty of Medicine, University of Niš, Niš, Serbia
 ³University Children’s Hospital Belgrade, Belgrade, Serbia

 

 SUMMARY

  

Introduction: Gastric teratoma is a extremely infrequent  tumor and accounts for less than 1% of all teratomas among children population with  male predominance.

Case history: Herewith is described a case of mature gastric teratoma in a three months-old female infant associated with malrotation, hypotonia, torticollis and fusion of labia minoria. Due to the abdominal distension, the child was admitted to the Paediatric Surgery Department. On physical examination, a large lump was palpable, and laboratory findings were normal. Computed tomography (CT) showed a major heterogeneous solid formation within the right hemi-abdomen, extending to pelvis and crossing the midline. The infant underwent surgery and complete excision of tumor originating from lesser curvature of the stomach was made. Tumor was weighing 600 gr and was 10 x 14 x 8 cm large. The histopathological examination finding pointed to  mature gastric teratoma. The post-operative course and further follow-up were eventless.

Conclusion: As soon as the diagnosis is made, the surgery is of paramount importance, especially in cases of immature teratomas, where malignant alteration is possible.

 

Keywords: mature gastric teratoma, infant

 

Corresponding author:

Maja Zečević

e-mail: maja.zecevicmd@gmail.com