Diagnosis: Mature cystic teratoma
No evidence of malignant transformation
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This case report highlights the diagnosis, surgical management, and outcome of an abdominal teratoma in a young child treated at our pediatric surgical center in Ghaziabad. Teratomas are rare, germ cell tumors that may contain tissue from all three embryonic layers and can occur in various anatomical locations. Abdominal teratomas, although uncommon, can pose significant risks if not diagnosed and treated early.
Age: 8-month-old female
Presenting Complaint: Abdominal distension and a palpable mass in the lower abdomen for 2 weeks
Other symptoms: Mild vomiting, poor feeding, no fever
Physical Examination: Non-tender, firm mass in the left lower quadrant of the abdomen
Investigations:
Ultrasound Abdomen: Large heterogeneous mass with cystic and solid components
CT Scan: Well-defined retroperitoneal mass measuring 8×6 cm, displacing adjacent bowel loops
Tumor Markers: AFP mildly elevated, β-hCG normal
Abdominal (retroperitoneal) teratoma – likely mature, non-malignant
Procedure: Elective exploratory laparotomy under general anesthesia
Findings: Large encapsulated mass arising from the retroperitoneum, adherent to adjacent mesentery but not involving major vessels
Surgery: Complete excision of the tumor without spillage
Diagnosis: Mature cystic teratoma
No evidence of malignant transformation
Uneventful recovery
Discharged on postoperative day 5
Follow-up ultrasound at 3 months – no recurrence
Tumor markers returned to normal range
This case emphasizes the importance of early detection and surgical intervention in managing pediatric abdominal teratomas. With skilled pediatric surgical care and modern imaging, outcomes are excellent, especially for mature teratomas. Our center in Ghaziabad is fully equipped to handle such rare and complex pediatric tumors with multidisciplinary support and compassionate care.
Dr. Rachit Goel, a highly skilled Pediatric & Neonatal Surgeon/Pediatric Urologist, plays a vital role in our esteemed Pediatrics & Neonatalogy team
+91 9742791730
drrachitgoel@gmail.com
Kidssurgeonitteam@gmail.com
yashoda hospital nehru nagar.
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