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Case Report
A large ruptured mediastinal teratoma
1 Senior Registrar, General Surgery Department, Qatif Central Hospital, Qatif, Saudi Arabia
2 Resident, General Surgery Department, Qatif Central Hospital, Qatif, Saudi Arabia
3 Surgical Intern, General Surgery Department, Qatif Central Hospital, Qatif, Saudi Arabia
4 General Surgery Consultant, General Surgery Department, Qatif Central Hospital, Qatif, Saudi Arabia
5 Thoracic Surgery and General Surgery Consultant, General Surgery Department, Qatif Central Hospital, Qatif, Saudi Arabia
Address correspondence to:
Fatimah Alalawi
Qatif Central Hospital, PO BOX 32654, 31911 Qatif,
Saudi Arabia
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Article ID: 101322Z01FA2022
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Alalawi F, Alsinan R, Alzahir B, Al Dawood F, Almarhon A, Alqumbar H. A large ruptured mediastinal teratoma. Int J Case Rep Images 2022;13(2):31–34.ABSTRACT
Introduction: Mediastinal teratomas are the most common type of mediastinal germ cell tumor. Most patients with mediastinal teratomas remain clinically silent. However, these teratomas occasionally rupture into the thoracic cavity, causing severe complications; surgical intervention is always required for ruptured teratomas. Herein, we report that case of a large anterior mediastinal teratoma that ruptured into the pleural cavity and caused a lung infection, pleural effusion, and subsequent mediastinitis.
Case Report: A 29-year-old man presented with rapidly progressive dyspnea and chest pain. Chest radiography revealed a large opacity in the entire right hemithorax. A thoracostomy tube was introduced into the right pleural cavity, and 200 mL of purulent fluid was evacuated. Thoracic computed tomography (CT) revealed a mass in the right hemithorax compressing the adjacent structures. The patient underwent total resection of the mediastinal mass via right posterolateral thoracotomy. Intraoperatively, the chest cavity was filled with adhesions and pus. The teratoma ruptured and adhered to surrounding structures. Postoperatively, the patient recovered completely. Microscopy revealed a mature teratoma.
Conclusion: Ruptured mediastinal mature teratoma is a serious complication. Once it is diagnosed, early surgical excision should be performed to reduce rupture-related complications.
Keywords: Mediastinal mass, Pleural effusion, Rupture, Teratoma
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Acknowledgments
We would like to thank Editage (www.editage.com) for English language editing.
Author ContributionsFatimah Alalawi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Reda Alsinan - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Batool Alzahir - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Fatimah Al Dawood - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ameen Almarhon - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hassan Alqumbar - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Fatimah Alalawi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
