Teratoma arising from anomalous common bile ducts: a case report
Section snippets
Case report
A 4-month-old girl was admitted for progressive jaundice and asymptomatic progressive abdominal distension lasting for a month. His past medical history was unremarkable. The child was observed to be icteric on physical examination. Abdominal examination found a prominent distention and a huge, well-defined mass that was nonfixed with a smooth surface at the right upper and lower quadrants and was passing over to the other side of the midline. The child otherwise appeared well. On laboratory
Discussion
Teratomas are neoplasms containing elements derived from the 3 primary germ layers, and the most common sites for teratoma are sacrococcygeal, mediastinal, and retroperitoneal regions and gonads. Teratomas rarely occur in abdominal organs such as the liver.3, 4, 5, 6 Teratoma of the common bile ducts is an extremely rare entity. We found only 2 case reports of teratoma arising from the common bile duct in the English-language literature.1, 2 There was no morphologic and radiologic description
References (6)
- et al.
Spectrum of biliary disease in childhood
South Med J
(1986) - et al.
Endodermal sinus tumour associated with benign teratoma of the common bile duct
Pediatr Radiol
(1993) - et al.
Hepatic teratomas in children
Pediatr Pathol
(1983)
Cited by (15)
Giant infantile immature teratoma derived from the hepatoduodenal ligament: Report of a case
2013, Journal of Pediatric Surgery Case ReportsCitation Excerpt :The patient is now carefully followed at the outpatient clinic. Only 10 cases of teratoma originating from the hepatoduodenal ligament have been reported in the English literature (Table 1) [2–10] and our report is the 11th case. Among them, 3 cases were in adults, and only one case was malignant teratoma with a high AFP level whereas 8 out of 10 cases were mature teratoma.
Portal teratoma causing obstructive jaundice in children: A rarity
2012, Journal of Pediatric SurgeryCitation Excerpt :Rare cases of these tumors occurring in the gastrointestinal tract, liver, nasal sinuses, cervix, and thyroid have been reported [6]. Teratoma in the hepatoduodenal ligament is very rare, and we could find only 7 reported cases hitherto after an extensive literature search [1,4,7–10]. Most of the teratomas in children are benign in nature, with excision being the preferred treatment of choice.
Mature cystic teratoma arising at the porta hepatis: a diagnostic dilemma
2008, Journal of Pediatric SurgeryCitation Excerpt :Although present in both gonadal and extragonadal sites, it is more commonly seen in the ovary and sacral region and is often associated with elevation of the alpha-fetoprotein and bHCG [2]. The occurrence of a teratoma in the biliary tree [1,3], porta hepatis, or liver [4,5] is rare. Choledochal cyst is likewise uncommon and will usually be associated with abnormalities of liver function tests and recurring jaundice [6].
Immature teratoma of gallbladder associated with gliomatosis peritonei, a case report
2007, Journal of Pediatric SurgeryCitation Excerpt :The digestive organ as an origin of teratoma is rare. There were some reports of teratomas derived from a digestive organ such as stomach, liver, and extrahepatic common bile duct [1-5]; however, we could not find a case of teratoma of the gallbladder in any literature. Interestingly, our case also had gliomatosis peritonei (GP) on her omentum and peritoneum.
Extrahepatic bile duct fibroma in an infant: a case report
2023, Annals of Pediatric SurgeryTeratoma in the hepatoduodenal ligament: a case report
2021, Annals of Pediatric Surgery