Atlas I, Khaldi M, Hayar S, Haboub M, Arous S, Benouna E M, Drighil A, Habbal R
Cardiology Department, Ibn Rochd Hospital University, Casablanca, Morocco.
Cardiology Department, Ibn Rochd Hospital University, Casablanca, Morocco.
Ann Cardiol Angeiol (Paris). 2025 Feb;74(1):101855. doi: 10.1016/j.ancard.2024.101855. Epub 2025 Jan 10.
Mature teratomas, a diverse group of germ cell tumors, rarely present with complications such as rupture.
We present a case of a 27-year-old male who was admitted to our hospital with acute dyspnea. A tamponade was diagnosed and the patient underwent a pericardial puncture. Further radiological investigations revealed a large mediastinal teratoma with evidence of rupture, leading to pericardial effusion. Surgical intervention was performed, which involved pericardial drainage and complete resection of the teratoma. Histopathological examination confirmed the diagnosis of a mature teratoma. The patient made a full recovery postoperatively.
This rare case underscores the importance of early recognition and prompt surgical management in patients with ruptured mediastinal teratomas to prevent complications. We discuss the clinical presentation, diagnostic workup, and surgical approach to aid in the understanding and management of similar cases.
Mature teratomas are relatively rare benign tumors that rarely present with complications such as tamponade. Management of tamponade remains the same, and complete surgical removal of the teratoma is essential. In general, the outcome is favorable after surgical treatment.
成熟畸胎瘤是一组多样化的生殖细胞肿瘤，很少出现破裂等并发症。
我们报告一例27岁男性，因急性呼吸困难入院。诊断为心包填塞，患者接受了心包穿刺。进一步的影像学检查发现一个巨大的纵隔畸胎瘤并有破裂迹象，导致心包积液。进行了手术干预，包括心包引流和畸胎瘤的完整切除。组织病理学检查确诊为成熟畸胎瘤。患者术后完全康复。
这个罕见病例强调了对于纵隔畸胎瘤破裂患者早期识别和及时手术治疗以预防并发症的重要性。我们讨论临床表现、诊断检查和手术方法，以帮助理解和处理类似病例。
成熟畸胎瘤是相对罕见的良性肿瘤，很少出现心包填塞等并发症。心包填塞的处理原则不变，畸胎瘤的完整手术切除至关重要。一般来说，手术治疗后预后良好。
