Mediastinum Teratoma Rupture: A Rare Manifestation

  • João Tavares Medicine Department, Hospital da Luz, Lisbon, Portugal http://orcid.org/0000-0002-5395-5236
  • Bernardo Baptista Medicine Department, Hospital da Luz, Lisbon, Portugal
  • Bebiana Gonçalves Medicine Department, Hospital da Luz, Lisbon, Portugal
  • Pedro Raimundo Medicine Department, Hospital da Luz, Lisbon, Portugal
  • Henrique Vaz Velho Thoracic Surgery Department, Hospital da Luz, Lisbon, Portugal
  • Alexandra Bayão Horta Medicine Department, Hospital da Luz, Lisbon, Portugal

Keywords

Mediastinal teratoma, mediastinal mass, pneumonia, teratoma rupture

Abstract

We present the case of a 22-year-old man who presented with cough, haemoptysis and fever of 3 days’ duration. A teratoma had been diagnosed 2 years previously. Physical examination was unremarkable but laboratory tests showed anaemia, neutrophilic leucocytosis and an increase in C-reactive protein. Chest CT revealed a teratoma of the anterior mediastinum with post-obstructive pneumonitis suggestive of tumour rupture. Antibiotic treatment resulted in a good clinical outcome. The patient was submitted to a left upper lobectomy and pathological examination revealed a mature teratoma. Teratomas are germ cell tumours that are usually asymptomatic and their rupture is a rare event.

References

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  • Published: 2019-01-28

    Issue: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Tavares, J., Baptista, B., Gonçalves, B., Raimundo, P., Vaz Velho, H., & Horta, A. (2019). Mediastinum Teratoma Rupture: A Rare Manifestation. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2019_001022

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