Rahmani Parisa, Sharifi Parastoo, Ashjaee Bahar, Ebrahimi Maryam
Pediatric Gastroenterology and Hepatology Research Center, Children's Medical Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Department of Pediatric Surgery, Pediatric Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Ann Med Surg (Lond). 2022 Jun 6;79:103952. doi: 10.1016/j.amsu.2022.103952. eCollection 2022 Jul.
and importance: A mature mediastinal teratoma is a rare type of tumor that can contain fully developed tissues and it is usually considered benign, more common in female and may require surgical removal. The most common locations for teratomas are the tailbone (coccyx), ovaries, and testicles, but in this case, the teratoma was located in the mediastinum.
Furthermore, intestinal malrotation could potentially lead the patient to gastrointestinal (GI) obstruction and PO intolerance. Here, we present a 2-month-old patient with considerable manifestation of GI intolerance due to intestinal malrotaion accompanied by mature mediastinal teratoma.
An evaluation of malrotation should be part of every upper GI tract examination in pediatric patients, particularly newborns and infants.
Finally, in this case, surgical intervention could enhance both malrotation and mediastinal teratoma.
及其重要性：成熟的纵隔畸胎瘤是一种罕见的肿瘤类型，可包含发育完全的组织，通常被认为是良性的，在女性中更为常见，可能需要手术切除。畸胎瘤最常见的部位是尾骨（尾椎）、卵巢和睾丸，但在本病例中，畸胎瘤位于纵隔。
此外，肠旋转不良可能导致患者出现胃肠道（GI）梗阻和口服不耐受。在此，我们报告一名2个月大的患者，因肠旋转不良伴有成熟的纵隔畸胎瘤而出现明显的胃肠道不耐受表现。
对旋转不良的评估应成为儿科患者，尤其是新生儿和婴儿每次上消化道检查的一部分。
最后，在本病例中，手术干预可改善肠旋转不良和纵隔畸胎瘤的情况。
