Mature Duodenal Teratoma in a Neonate with Exomphalos Minor with Intestinal Obstruction: First Case Report

Conclusion

We report the first case of duodenal teratoma in the English literature. Intestinal obstruction due to exomphalos minor is also a rare event in itself and its association with mature duodenal teratoma communicating with the lumen is extremely rare. Excision is the treatment of choice and close follow-up is recommended.

• References

• 1 Jones PG. Exomphalos (syn. omphalocele). A review of 45 cases. Arch Dis Child 1963; 38: 180-187
• 2 Groves R, Sunderajan L, Khan AR, Parikh D, Brain J, Samuel M. Congenital anomalies are commonly associated with exomphalos minor. J Pediatr Surg 2006; 41 (2) 358-361
• 3 Aitken J. Exomphalos. Analysis of a 10-year series of 32 cases. Arch Dis Child 1963; 38: 126-129
• 4 Vassy LE, Boles Jr ET. Iatrogenic ileal atresia secondary to clamping of an occult omphalocele. J Pediatr Surg 1975; 10 (5) 797-800
• 5 Asabe K, Oka Y, Kai H, Shirakusa T. Iatrogenic ileal perforation: an accidental clamping of a hernia into the umbilical cord and a review of the published work. J Obstet Gynaecol Res 2008; 34 (4 Pt 2): 619-622
• 6 Ashley DJ. Origin of teratomas. Cancer 1973; 32 (2) 390-394
• 7 Ansari MA, Sharma P, Shuaib IL, Pradhan S. Primary retroperitoneal teratoma presenting as diabetes mellitus in a child. Journal of Clinical Diagnosis and Research 2008; 2 (5) 1103-1106
• 8 Gengler JS, Ashcraft KW, Slattery P. Gastric teratoma: the sixth reported case in a female infant. J Pediatr Surg 1995; 30 (6) 889-890
• 9 Bryan TBL. Exomphalos complicated by Acute Intestinal Obstruction. BMJ 1944; 2 (4381) 818-819
• 10 Lewis RH. Foetus in foetu and the retroperitoneal teratoma. Arch Dis Child 1961; 36: 220-226
• 11 Needham J. New advances in the chemistry and biology of organized growth. Proc R Soc Med 1936; 29 (12) 1577-1626
• 12 Nicholson GW. Studies on tumour formation—an abdominal foetiform teratoma. Guys Hosp Rep 1935; 85: 379
• 13 Willis RA. The structure of teratoma. J Path Bact 1935; 40: 1
• 14 Matias IC, Huang YC. Gastric teratoma in infancy: report of a case and review of world literature. Ann Surg 1973; 178 (5) 631-636
• 15 Celik M, Akkaya H, Arda IS, Hiçsönmez A. Congenital teratoma of the tongue: a case report and review of the literature. J Pediatr Surg 2006; 41 (11) e25-e28
• 16 Cairo MS, Grosfeld JL, Weetman RM. Gastric teratoma: unusual cause for bleeding of the upper gastrointestinal tract in the newborn. Pediatrics 1981; 67 (5) 721-724
• 17 Singh M, Rattan KN, Kadian YS, Hasija N. Gastric teratoma: a rare neoplasm. J Neonat Surg 2012; 1 (2) 28
• 18 Ukiyama E, Endo M, Yoshida F. Hepatoduodenal ligament teratoma with hepatic artery running inside. Pediatr Surg Int 2008; 24 (11) 1239-1242
• 19 Johnson TV, Osunkoyal AO, Delman K, Baumgartenand DA, Master VA. Novel case of metastatic testicular immature teratoma invading the duodenum. The Open Surgical Oncology Journal 2009; 1: 16-18