Teratomas Mediastinal Recurrent with Massive Pericardial Effusion

Lilik Lestari(1*), Muhammad Harris Sis Sultansyah(2)

(1) Lung Hospital of dr. Ario Wirawan, Salatiga, Central Java, Indonesia
(2) Public Health Center Tambakaji, Semarang, Central Java, Indonesia
(*) Corresponding Author


Background:  Mediastinal teratoma is a medical rare disease that refers to the presence of a regrowing teratoma tumor in the mediastinum. At the pulmonary hospital dr. Ario Wirawan Salatiga, only one case was found, where the patient had previously been operated on at another hospital.

Objective: The purpose of this paper was to contribute to the radiology literature by presenting a case of recurrent teratoma.

Case Presentation: A 19-year-old male patient complained of persistent shortness of breath. The patient previously underwent teratoma surgery. The patient underwent chest X-rays, CT scans, abdominal and cardiac ultrasounds (USG), and as well as biopsies. The results of the CT scan found a teratoma-type mediastinal tumor accompanied by a large amount of pericardial effusion. A hyperechoic lesion with well-defined borders, round-oval, lobulated, and very large in size. Location in the mediastinum that is urgent and involves the left ventricle, right ventricle, left atrium, and right atrium. There is also an aortic compression lesion accompanied by calcification (+). Examination by ultrasonography (USG) of the heart found many pericardial but not found pressing. Heart valve function in patients did not show any abnormalities.

Conclusion: Recurrent teratomas with large-volume pericardial effusions are rare. In this case study, a teratoma is located in the mediastinum. In this case, axial, coronal, and sagittal slices of a contrast thoracic CT scan can be used to establish the diagnosis. The results of heart USG found a pericardial effusion, the heart chambers do not collapse in this case of recurrent teratomas, indicating a mature teratoma type.


recurrent teratomas; mediastinal; pericardial effusion; CT-scan; ultrasonography

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Tian Z, Liu H, Li S, Chen Y, Ma D, Han Z, et al. Surgical treatment of benign mediastinal teratoma: summary of experience of 108 cases. Journal of Cardiothoracic Surgery. 2020;15(1):36.

Al Smady M, Zahari NNB, Mohd Sahid NSB, Saparudin NSB. Anterior mediastinal teratoma with pericardial effusion. Rare presentation. Journal of Surgical Case Reports. 2019;2019(5):rjz136.

Risnawati R, Wulandari L. Tumor Mediastinum Anterior (Yolk Sac Tumor) pada Seorang Laki-Laki Dewasa Muda: Sebuah Kasus yang Jarang. J Respirasi. 2019;2(2):45.

Milone F, Taronna G, Gnetti L, Silva M. Other Mediastinal Tumors. The Thorax. 2020:127-57.

Moran CA, Suster S. Primary germ cell tumors of the mediastinum. Cancer. 1997;80(4):681-90.

Duc VT, Thuy TTM, Bang HT, Vy TT. Imaging findings of three cases of large mediastinal mature cystic teratoma. Radiology case reports. 2020;15(7):1058-65.

Foladi N, Farzam F, Rahil N, Hoshang MMS. CT features of mature teratoma in the mediastinum of two young adults—a report of two cases. Egyptian Journal of Radiology and Nuclear Medicine. 2020;51(1):234.

Wiratama PA, Rahniayu A, Ramadhani VY. Mature Teratoma of The Lung: A Case Report. MAGNA MEDIKA: Berkala Ilmiah Kedokteran dan Kesehatan. 2023;10(1):109-16.

Syamsuwidayat S, Sampurno SI, Budiman I, Rahajoe N, Nasar IM. Mediastinal teratoma. Paediatrica Indonesiana. 1982;22(5-6):111-8.

Icksan A, Atmaja D, Syahrudin E, Ruth E. Kasus Teratoma Mediastinal Imatur dengan Komponen Khoriokarsinoma Disertai Sindrom Vena Kava Superior. Indonesian Journal of Cancer. 2009;3(1):25-32.

Natalie H, Soewondo W, Widyasari N, Utomo AP. A 19-year-old woman with mature pericardial teratoma. Radiology Case Reports. 2023;18(3):1099-102.

Beye SM, Samb CAB, Ndichout A, Diop NR, Diop KR, Condé A, et al. Compressive Pericardial Teratoma about a Case at Regional Hospital of Saint Louis/Senegal. Journal of Biosciences and Medicines. 2022;10(6):1-7.

Kebalo SP, Lamboni D, Guedenon KM, Amegbor K, Gnassingbe K. Mature teratoma of the mediastinum in children: A case revealed by persistent chest pain. Journal of Pediatric Surgery Case Reports. 2022;78:102209.

Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L. A diagnostic approach to the mediastinal masses. Insights Imaging. 2013;4(1):29-52.

Iovine E, Petrarca L, Regina DPL, Matera L, Mancino E, Di Mattia G, et al. The Key Role of Lung Ultrasound in the Diagnosis of a Mature Cystic Teratoma in a Child with Suspected Difficult to Treat Pneumonia: A Case Report. Children. 2022;9(4):555.

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DOI: https://doi.org/10.26714/magnamed.10.2.2023.252-257


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