COMPLEX MEDIASTINAL TUMOUR IN PREGNANCY: CASE REPORT
DOI:
https://doi.org/10.48729/pjctvs.36Abstract
A 19 years-old woman, on her 17th week of pregnancy presented to the emergency department with thoracic pain and vomiting. An empyema was diagnosed and she was transferred to a tertiary hospital for treatment. After drainage of the empyema a mediastinal mass was detected and a thoracic MRI revealed a multicystic lesion of the anterior mediastinum, causing cardiac and left lung compression, suggestive of a complicated teratoma. After a multidisciplinary discussion involving pulmonology, radiology, obstetrics and thoracic surgery, she was operated successfully by clamshell incision. A mature complicated teratoma was resected and a left pleurectomy/decortication performed. She was discharged on day 17 with no obstetrical or respiratory symptoms.
Downloads
References
Rodrigues C, Barata R. (2019). Tumores e quistos mediastínicos, mediastinite e pneumomediastino. In Bugalho A, Ferreira AJ, Morais A. Pneumologia Fundamental (Capítulo 44). LIDEL
Kuman NK, Cokpinar S, et al.; (2012) Teratoma during Pregnancy with Positive Estrogen and Progesterone Receptors and Elevated Ca19-9 Antigen Levels. Case Reports in Surgery. (Volume 2012, Article ID 970845, 4 pages)
Uyama T, Monden Y et al.;(1988) Rapidly growing mature teratoma of the mediastinum: Do sex hormones affect growth of the tumor? Journal of Surgical Oncology. (volume 38, issue 4, pages 285-289)
Caspi B, Levi R, et al (2000). Conservative managent of ovarian cystic teratoma during pregnacy and labor. American Journal of Obterics Gynaecology. (vol 182, issue 3, pages 503-505)
Serraj M, Lakrambi M, et al. (2013). Mediastinal mature teratoma with complex rupture into the lung, bronchus and skin: a case report. World Journal of Surgical Oncology. (Vol 11: 125)
Miyasawa M, Yoshida K, et al. (2012). Mediastinal Mature teratoma with rupture due to Blunt trauma. Ann Thorac Surg. Vol 93: 990-2.
Petti C, Stratton C (2015). Steptococcus anginosus Group. In Bennt J, Dolin R et al. Mandell, Douglas, and Bennett’s Principles and Practise of Infectious diseases (Eighth Edition) (volume 2, pages 2362-2365.e1). Elsevier.