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Case Reports
. 2013 Sep 26:2013:bcr2013201205.
doi: 10.1136/bcr-2013-201205.

Congenital anterior mediastinal teratoma causing severe airway compression in a neonate

Adrie Bekker  1 , Pierre Goussard, Robert Gie, Savvas Andronikou
Affiliations
Case Reports

Congenital anterior mediastinal teratoma causing severe airway compression in a neonate

Adrie Bekker et al. BMJ Case Rep. .
No abstract available

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Figures

Figure 1
Figure 1
Plain frontal radiograph and frontal radiograph with tracheobronchography using a water-soluble contrast agent performed in the neonatal intensive care unit (ICU). (A) The frontal radiograph demonstrates an endotracheal tube in situ while the lower portions of the trachea are indistinct and presumed compressed. The wide mediastinum in the presence of a compressed trachea is therefore presumed to be pathological and suggestive of an anterior mediastinal mass possibly arising from the thymus. (B) Tracheobronchography performed using 2 mL of low-osmolar water-soluble contrast administered through the endotracheal tube was performed and in the neonatal ICU confirms severe narrowing of the midtrachea to lower trachea (arrow) presumably due to an anterior medistinal mass.
Figure 2
Figure 2
Axial CT scan after intravenous contrast injection demonstrates posterior displacement of the great vessels, trachea and oesophagus as well as circumferential severe narrowing of the trachea (arrow) caused by a large anterior mediastinal mass of predominantly low density with minimal peripheral heterogenous enhancement. The mass origin was presumed to be the thymus.
See this image and copyright information in PMC

References

    1. Schild RL, Plath H, Hofstaetter C, et al. Prenatal diagnosis of a fetal mediastinal teratoma. Ultrasound Obstet Gynecol 1998;2013:369–70 - PubMed
    1. Tsao K, Albanese CT, Harrison MR. Prenatal therapy for thoracic and mediastinal lesions. World J Surg 2003;2013:77–83 - PubMed
    1. Tjalma WA. The value of AFP in congenital cervical teratoma. J Pediatr Surg 2003;2013:1846. - PubMed

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