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CC BY 4.0 · European J Pediatr Surg Rep. 2022; 10(01): e6-e8
DOI: 10.1055/s-0041-1741509
Case Report

Umbilical Cord Teratoma Presenting as Ruptured Omphalocele

Fabian Doktor
1   Department of Pediatric Surgery, University of Leipzig, Leipzig, Saxony, Germany
,
Jan-Hendrik Gosemann
1   Department of Pediatric Surgery, University of Leipzig, Leipzig, Saxony, Germany
,
Peter Zimmermann
1   Department of Pediatric Surgery, University of Leipzig, Leipzig, Saxony, Germany
,
Manuela Siekmeyer
2   Department of Pediatrics, University of Leipzig, Leipzig, Saxony, Germany
,
Holger Stepan
3   Division of Obstetrics, University of Leipzig, Leipzig, Saxony, Germany
,
Martin Lacher
1   Department of Pediatric Surgery, University of Leipzig, Leipzig, Saxony, Germany
4   Klinik und Poliklinik für Kinderchirurgie, Universitätsklinikum Leipzig, Leipzig, Germany
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Abstract

Congenital mature teratomas of the umbilical cord are extremely rare. We report on a girl who presented with a ruptured omphalocele and a 7 cm mass connected to the umbilicus, which we resected on the first day of life. Histology revealed mature umbilical cord teratoma . On the 29th day of life, a secondary laparotomy was necessary to address the associated intestinal malformations (megaduodenum, stenotic small bowel with duplication and malrotation). After a prolonged hospital stay, we discharged the patient in age-appropriate conditions. Antenatal diagnosis of an umbilical cord tumor can be challenging in the presence of an omphalocele. Given the high prevalence of associated malformations, the finding of umbilical cord teratoma should be followed by a detailed and comprehensive neonatal workup for additional abnormalities.

Keywords

umbilical cord teratoma - omphalocele - abdominal wall defect


Publication History

Received: 21 December 2020

Accepted: 18 January 2021

Article published online:
03 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Kaatsch P, Grabow D, Spix C. German Childhood Cancer Registry - Annual Report 2018 (1980–2017). Mainz: Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) at the University Medical Center of the Johannes Gutenberg University Mainz; 2019
    Google Scholar
  • 2 Gross RW, Clatworthy Jr HW, Meeker Jr IA. Sacrococcygeal teratomas in infants and children; a report of 40 cases. Surg Gynecol Obstet 1951; 92 (03) 341-354
    PubMedGoogle Scholar
  • 3 Moore SW, Satgé D, Sasco AJ, Zimmermann A, Plaschkes J. The epidemiology of neonatal tumours. Report of an international working group. Pediatr Surg Int 2003; 19 (07) 509-519
    CrossrefPubMedGoogle Scholar
  • 4 Budin P. Note sur une tumeur de cord ombilical. Prog Med (Paris) 1878; 1878 (02) 550-551
    PubMedGoogle Scholar
  • 5 Gonzalez-Crussi F. Extragonadal Teratomas. Washington, DC: Armed Forced Inst. of Pathology; 1982
    Google Scholar
  • 6 Joachim VK, Elvira S, Lieve V. An immature teratoma of the umbilical cord: a case report and review of the literature. Med J Obstet Gynecol 2017; 5 (03) 1106
    PubMedGoogle Scholar
  • 7 Adams KV, Bernieh A, Morris RW, Saad AG. Umbilical cord teratomas associated with congenital malformations. Arch Pathol Lab Med 2020; 144 (02) 156-159
    CrossrefPubMedGoogle Scholar
  • 8 Wagner H, Baretton G, Wisser J, Babic R, Löhrs U. [Teratoma of the umbilical cord. Case report with literature review]. Pathologe 1993; 14 (06) 395-398
    PubMedGoogle Scholar
  • 9 Demir BC, Topal NB, Güneş EŞ, Yazıcı Z, Yalçınkaya U. Prenatal diagnosis of fetal umbilical cord teratoma. Case Rep Perinat Med 2014; 3 (02) 528
    PubMedGoogle Scholar
  • 10 Chavali LV, Bhaskar RV, Reddy JB. Immature teratoma at umbilicus region presenting as exomphalos: a case report with review of literature. Indian J Med Paediatr Oncol 2014; 35 (03) 231-233
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Crahes M, Patrier S, Ickowicz V. et al. [Giant teratoma of the umbilical cord associated with foetal malformations: a morphological and cytogenetic study]. Ann Pathol 2013; 33 (01) 57-61
    CrossrefPubMedGoogle Scholar
  • 12 Keene DJ, Shawkat E, Gillham J, Craigie RJ. Rare combination of exomphalos with umbilical cord teratoma. Ultrasound Obstet Gynecol 2012; 40 (04) 481
    CrossrefPubMedGoogle Scholar
  • 13 Bersch W, Mayer M, Dengler HM. [Teratoma of the umbilical cord. Report of a clinical case]. Pathologe 1985; 6 (01) 38-40
    PubMedGoogle Scholar
  • 14 Del Sordo R, Fratini D, Cavaliere A. [Teratoma of umbilical cord: a case report and literature review]. Pathologica 2006; 98 (04) 224-228
    PubMedGoogle Scholar
  • 15 Heckmann U, Cornelius HV, Freudenberg V. [Teratoma of the umbilical cord. A case contribution on true umbilical teratomas]. Geburtshilfe Frauenheilkd 1972; 32 (07) 605-607
    PubMedGoogle Scholar
  • 16 Kreyberg L. A teratoma-like swelling in the umbilical cord possibly of acardius nature. J Pathol Bacteriol 1958; 75 (01) 109-112
    CrossrefPubMedGoogle Scholar
  • 17 Satgé DC, Laumond MA, Desfarges F, Chenard MP. An umbilical cord teratoma in a 17-week-old fetus. Prenat Diagn 2001; 21 (04) 284-288
    CrossrefPubMedGoogle Scholar
  • 18 Kreczy A, Alge A, Menardi G, Gassner I, Gschwendtner A, Mikuz G. Teratoma of the umbilical cord. Case report with review of the literature. Arch Pathol Lab Med 1994; 118 (09) 934-937
    PubMedGoogle Scholar
  • 19 Hargitai B, Csabai L, Bán Z. et al. Rare case of exomphalos complicated with umbilical cord teratoma in a fetus with trisomy 13. Fetal Diagn Ther 2005; 20 (06) 528-533
    CrossrefPubMedGoogle Scholar
  • 20 Haendly P. Teratom der Nabelschnur. Arch Gynakol 1923; 116 (03) 578-588
    CrossrefPubMedGoogle Scholar
  • 21 Smith D, Majmudar B. Teratoma of the umbilical cord. Hum Pathol 1985; 16 (02) 190-193
    CrossrefPubMedGoogle Scholar
  • 22 Fujikura T, Wellings SR. A teratoma-like mass on the placenta of a malformed infant. Am J Obstet Gynecol 1964; 89 (06) 824-825
    CrossrefPubMedGoogle Scholar