Colonic mature cystic teratoma
Aim of the study: We would like to report an unusual case of mature cystic teratoma (MCT) of the left colon presenting with intestinal obstruction in a syndromic patient with low-anorectal malformation (ARM). Case report: The boy had multiple malformations: low ARM with perineal fistula, situs ambig...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-02-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576618303221 |
| _version_ | 1811214938994114560 |
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| author | Francesca Destro Luciano Maestri Milena Meroni Enrico La Pergola Andreea Alina Andronache Claudio Clemente Giovanna Riccipetitoni |
| author_facet | Francesca Destro Luciano Maestri Milena Meroni Enrico La Pergola Andreea Alina Andronache Claudio Clemente Giovanna Riccipetitoni |
| author_sort | Francesca Destro |
| collection | DOAJ |
| description | Aim of the study: We would like to report an unusual case of mature cystic teratoma (MCT) of the left colon presenting with intestinal obstruction in a syndromic patient with low-anorectal malformation (ARM). Case report: The boy had multiple malformations: low ARM with perineal fistula, situs ambiguous, dextrocardia, double outlet right ventricle with pulmonary stenosis and anterior aorta.At two years he required cardiac surgery but he developed intestinal obstruction. The intestinal condition put us in a diagnostic challenge: we thought about intestinal stenosis with fecal impaction but radiological investigations were inconclusive. During surgery we identified an abdominal mass that was resected together with the adjacent descending colon. Histology showed MCT. Follow-up was uneventful. Conclusions: MCT rarely occurs outside the sacrococcygeal–gonadal location. They are frequently associated with ARM in Currarino Syndrome: the mass is located in front of the sacrum and causes anal stenosis. Nevertheless, in the reported patient, MCT did not arise from the spine but from the left colon.Paediatric cases of colonic MCT have never been reported. Affected adults can develop constipation and/or intestinal obstruction. Surgery permits to remove the mass in both symptomatic and asymptomatic patients. Keywords: Mature cystic teratoma, Dermoid cyst, Anorectal malformation, Intestinal obstruction, Paediatric surgery |
| first_indexed | 2024-04-12T06:14:00Z |
| format | Article |
| id | doaj.art-9209976a6a134479b129279bbc6f00bc |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-12T06:14:00Z |
| publishDate | 2019-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-9209976a6a134479b129279bbc6f00bc2022-12-22T03:44:36ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662019-02-01415759Colonic mature cystic teratomaFrancesca Destro0Luciano Maestri1Milena Meroni2Enrico La Pergola3Andreea Alina Andronache4Claudio Clemente5Giovanna Riccipetitoni6Pediatric Surgery and Pediatric Urology Department, Buzzi Children's Hospital, Via Castelvetro 32, 20154 Milano Italy; Corresponding author.Pediatric Surgery and Pediatric Urology Department, Buzzi Children's Hospital, Via Castelvetro 32, 20154 Milano ItalyPediatric Surgery and Pediatric Urology Department, Buzzi Children's Hospital, Via Castelvetro 32, 20154 Milano ItalyPediatric Surgery and Pediatric Urology Department, Buzzi Children's Hospital, Via Castelvetro 32, 20154 Milano ItalyPediatric and Adult Cardiosurgery Department, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Milano ItalyPathological Anatomy and Cytodiagnostics Department, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Milano ItalyPediatric Surgery and Pediatric Urology Department, Buzzi Children's Hospital, Via Castelvetro 32, 20154 Milano ItalyAim of the study: We would like to report an unusual case of mature cystic teratoma (MCT) of the left colon presenting with intestinal obstruction in a syndromic patient with low-anorectal malformation (ARM). Case report: The boy had multiple malformations: low ARM with perineal fistula, situs ambiguous, dextrocardia, double outlet right ventricle with pulmonary stenosis and anterior aorta.At two years he required cardiac surgery but he developed intestinal obstruction. The intestinal condition put us in a diagnostic challenge: we thought about intestinal stenosis with fecal impaction but radiological investigations were inconclusive. During surgery we identified an abdominal mass that was resected together with the adjacent descending colon. Histology showed MCT. Follow-up was uneventful. Conclusions: MCT rarely occurs outside the sacrococcygeal–gonadal location. They are frequently associated with ARM in Currarino Syndrome: the mass is located in front of the sacrum and causes anal stenosis. Nevertheless, in the reported patient, MCT did not arise from the spine but from the left colon.Paediatric cases of colonic MCT have never been reported. Affected adults can develop constipation and/or intestinal obstruction. Surgery permits to remove the mass in both symptomatic and asymptomatic patients. Keywords: Mature cystic teratoma, Dermoid cyst, Anorectal malformation, Intestinal obstruction, Paediatric surgeryhttp://www.sciencedirect.com/science/article/pii/S2213576618303221 |
| spellingShingle | Francesca Destro Luciano Maestri Milena Meroni Enrico La Pergola Andreea Alina Andronache Claudio Clemente Giovanna Riccipetitoni Colonic mature cystic teratoma Journal of Pediatric Surgery Case Reports |
| title | Colonic mature cystic teratoma |
| title_full | Colonic mature cystic teratoma |
| title_fullStr | Colonic mature cystic teratoma |
| title_full_unstemmed | Colonic mature cystic teratoma |
| title_short | Colonic mature cystic teratoma |
| title_sort | colonic mature cystic teratoma |
| url | http://www.sciencedirect.com/science/article/pii/S2213576618303221 |
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