Mediastinum Teratoma Rupture: A Rare Manifestation.

Autor:	Tavares JG; Medicine Department, Hospital da Luz, Lisbon, Portugal., Baptista B; Medicine Department, Hospital da Luz, Lisbon, Portugal., Gonçalves B; Medicine Department, Hospital da Luz, Lisbon, Portugal., Raimundo P; Medicine Department, Hospital da Luz, Lisbon, Portugal., Velho HV; Thoracic Surgery Department, Hospital da Luz, Lisbon, Portugal., Horta AB; Medicine Department, Hospital da Luz, Lisbon, Portugal.
Jazyk:	angličtina
Zdroj:	European journal of case reports in internal medicine [Eur J Case Rep Intern Med] 2019 Jan 28; Vol. 6 (2), pp. 001022. Date of Electronic Publication: 2019 Jan 28 (Print Publication: 2019).
DOI:	10.12890/2019_001022
Abstrakt:	We present the case of a 22-year-old man who presented with cough, haemoptysis and fever of 3 days' duration. A teratoma had been diagnosed 2 years previously. Physical examination was unremarkable but laboratory tests showed anaemia, neutrophilic leucocytosis and an increase in C-reactive protein. Chest CT revealed a teratoma of the anterior mediastinum with post-obstructive pneumonitis suggestive of tumour rupture. Antibiotic treatment resulted in a good clinical outcome. The patient was submitted to a left upper lobectomy and pathological examination revealed a mature teratoma. Teratomas are germ cell tumours that are usually asymptomatic and their rupture is a rare event. Learning Points: Mature teratomas are usually asymptomatic.Teratoma bronchial rupture is rare.The most frequent location for mature teratomas is the anterior mediastinum. Competing Interests: Conflicts of Interests: The Authors declare that there are no competing interests.
Databáze:	MEDLINE
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