Immature Mesenteric Teratoma In An Infant: A Case Report 3581-3584
Dr Rajendra K Ghritlaharey
Associate Professor, Department of Paediatric Surgery,
Gandhi Medical College & Associated Kamla Nehru & Hamidia Hospitals
Bhopal, Madhya Pradesh 462 001 (INDIA)
Phone No: + 91-755 - 4050571(R), 4050261(O)
We report a case of a large mature teratoma with rare microscopic foci of the immature elements of the mesentery of the jejunum and ileum, which were diagnosed by histology in an infant. She presented with an abdominal lump since birth. Her clinical examination revealed a non tender, mobile, mass, occupying the right hypochondrium and the epigastric and the umbilical areas. USG and CT scan of the abdomen confirmed a heterogeneous mass of a size of 10 x 8 x 6 cm, with calcification seen in the intra peritoneum and displacing the intestinal loops to the left side. Exploratory laparotomy and complete excision of the tumour was done from the mesentery of the jejunum and the ileum. She was advised chemotherapy, as the biopsy was having immature elements and her serum alpha foetoprotein levels were markedly raised, but her parents refused chemotherapy. She is on regular follow up and is doing well.