Abdelrahman S Elnour, Elsadig A Corina, Mohamed A Elnima, Abdelhafeez H Abdelhafeez, Faisal Nugud
{"title":"Primary adrenal teratoma in an infant: A case report and literature review.","authors":"Abdelrahman S Elnour, Elsadig A Corina, Mohamed A Elnima, Abdelhafeez H Abdelhafeez, Faisal Nugud","doi":"10.1016/j.ijscr.2024.110473","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Teratomas are germ cell neoplasms arising from the totipotent stem cells. Retroperitoneal teratomas are very rare, accounting for about 5 % of all teratomas of those, primary adrenal ones are exceedingly rare, with few cases reported in the English literature in pediatric age group.</p><p><strong>Case presentation: </strong>A nine-month-old female presented with a two-month history of gradually increasing abdominal distention, her physical examination revealed a palpable large abdominal mass. Abdominal CT imaging showed a right suprarenal heterogeneous mass. Oncological resection was performed, and histopathology confirmed a primary mature adrenal teratoma.</p><p><strong>Discussion: </strong>The diagnosis of primary adrenal teratoma is usually challenging and relies predominantly on imaging studies, and histopathological finding.</p><p><strong>Conclusion: </strong>Primary adrenal teratoma is extremely rare in pediatric age group, and present a significant diagnostic challenge, as a result it should be considered in the differential diagnosis of pediatric patients with adrenal masses.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532896/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.ijscr.2024.110473","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/16 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Teratomas are germ cell neoplasms arising from the totipotent stem cells. Retroperitoneal teratomas are very rare, accounting for about 5 % of all teratomas of those, primary adrenal ones are exceedingly rare, with few cases reported in the English literature in pediatric age group.
Case presentation: A nine-month-old female presented with a two-month history of gradually increasing abdominal distention, her physical examination revealed a palpable large abdominal mass. Abdominal CT imaging showed a right suprarenal heterogeneous mass. Oncological resection was performed, and histopathology confirmed a primary mature adrenal teratoma.
Discussion: The diagnosis of primary adrenal teratoma is usually challenging and relies predominantly on imaging studies, and histopathological finding.
Conclusion: Primary adrenal teratoma is extremely rare in pediatric age group, and present a significant diagnostic challenge, as a result it should be considered in the differential diagnosis of pediatric patients with adrenal masses.