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Insights Into Giant Intrapulmonary Teratomas in Infants: A Case Report and Literature Review
Sara E Marhoon1, Ali H Ali1, Osama M Abdelmoneim2
1College of Medicine, Mansoura University, Mansoura, EGY.
Cureus
|July 25, 2024
Summary
Intrapulmonary teratoma (IPT) is a rare lung tumor. This case highlights a giant IPT in an infant, presenting with respiratory distress and fever, successfully treated with surgical excision.
Area of Science:
- Pediatric Surgery
- Thoracic Oncology
- Developmental Pathology
Background:
- Mature cystic teratomas, typically gonadal, rarely occur in the lung as intrapulmonary teratomas (IPT).
- IPT in infants is exceptionally rare, with only two prior reported cases.
- Clinical presentation can mimic pneumonia, especially in infants where fever is a notable symptom.
Observation:
- A one-year-old female presented with respiratory distress and fever.
- Initial chest X-ray suggested pneumonia, but IV antibiotics were ineffective.
- A chest CT scan revealed a large, heterogeneous mass occupying the right hemithorax, consistent with IPT.
Findings:
- The infant's giant intrapulmonary teratoma was successfully diagnosed and surgically excised.
- Postoperative recovery was uneventful, with discharge on the 11th day.
- This case contributes to the scarce literature on pediatric IPT, particularly large-sized tumors.
Implications:
- Early and accurate diagnosis of IPT is crucial, even when symptoms mimic common pediatric infections.
- Surgical resection remains the definitive treatment for symptomatic intrapulmonary teratomas.
- Further case reports are needed to better understand the presentation and management of IPT in infants.
