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Case Reports
. 2021 Sep 6;16(11):3461-3464.
doi: 10.1016/j.radcr.2021.08.026. eCollection 2021 Nov.

Prompt diagnosis and management of a ruptured mediastinal cystic teratoma

Caroline Le Tohic  1 , Sameer Rehman  1   2   3
Affiliations
Case Reports

Prompt diagnosis and management of a ruptured mediastinal cystic teratoma

Caroline Le Tohic et al. Radiol Case Rep. .

Erratum in

Abstract

Mediastinal germ cell tumors are some of the less frequently encountered anterior mediastinal masses. We report an interesting case of a 26-year-old male with a ruptured mediastinal cystic teratoma. Initial plain radiograph and CT scan of the chest showed radiographic evidence of a ruptured cystic teratoma, including a peripherally enhancing, partially calcified mass with internal fat density. Upon surgical excision, the mass was found to adhere to the thymus and anterior aortic arch. The patient was promptly diagnosed via imaging and managed in a timely manner via complete surgical resection.

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Figures

Fig 1 –
Fig. 1
PA radiograph. Initial PA radiograph demonstrates widening of the left mediastinal silhouette (green arrow). (Color version of the figure is available online.)
Fig 2 –
Fig. 2
CT scan of chest. Axial CT images (A) demonstrate fat attenuation within the teratoma (orange arrow), peripheral calcifications (green arrow), and discontinuous wall with surrounding fluid (blue arrow) consistent with ruptured teratoma. Coronal CT images (B) once again demonstrate peripheral calcifications (green arrow), and discontinuous wall of the teratoma with surrounding fluid (orange arrow). (Color version of the figure is available online.)
See this image and copyright information in PMC

References

    1. Duwe BV, Sterman DH, Musani AI. Tumors of the mediastinum. Chest Journal. 2005;128(4):2893–2909. doi: 10.1378/chest.128.4.2893. - DOI - PubMed
    1. Machuca JS, Tejwani D, Niazi M, Diaz-Fuentes G. A large ruptured mediastinal cystic teratoma. Journal of bronchology & interventional pulmonology. 2010;17(3):269–272. doi: 10.1097/LBR.0b013e3181e77872. - DOI - PubMed
    1. Shameem M, Qaseem SMD, Siddiqui MA, Shah NN, Ahmad A. Mature mediastinal teratoma in adult. Respiratory medicine CME. 2010;3(2):116–117. doi: 10.1016/j.radcr.2020.05.011. - DOI
    1. Rosti G, Secondino S, Necchi A, Fornarini G, Pedrazzoli P. Primary mediastinal germ cell tumors. Seminars in oncology. 2019;46(2):107–111. doi: 10.1053/j.seminoncol.2019.04.001. - DOI - PubMed
    1. Drevelegas A, Palladas P, Scordalaki A. Mediastinal germ cell tumors: A radiologic–pathologic review. Eur Radiol. 2001;11(10):1925–1932. doi: 10.1007/s003300000725. - DOI - PubMed

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