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Complex Mediastinal Tumour In Pregnancy: Case Report.
Cristina Rodrigues1, Daniel Cabral1, Isabel Correia2
1Thoracic Surgery Department, CHULN, Lisboa, Portugal.
Summary
A pregnant woman with thoracic pain was diagnosed with empyema and a mediastinal mass, later identified as a complicated teratoma. Successful surgical resection led to a full recovery without impacting her pregnancy.
Area of Science:
- Thoracic Surgery
- Obstetrics
- Radiology
Background:
- A 19-year-old pregnant woman presented with thoracic pain and vomiting.
- Initial diagnosis of empyema led to transfer to a tertiary care center.
Observation:
- A mediastinal mass was detected after empyema drainage.
- Thoracic MRI revealed a complex anterior mediastinal lesion compressing the heart and left lung.
- The lesion was suspected to be a complicated teratoma.
Findings:
- Multidisciplinary team recommended surgical intervention.
- Successful resection of a mature complicated teratoma via clamshell incision.
- Left pleurectomy and decortication were performed concurrently.
Implications:
- This case highlights the successful management of a complex mediastinal teratoma during pregnancy.
- Demonstrates effective multidisciplinary collaboration in managing rare thoracic conditions in pregnant patients.
- Achieved favorable outcomes for both mother and fetus, with complete resolution of symptoms.
