Skip to main content

Advertisement

Log in

Intrapericardial teratoma presenting as recurrent pericardial tamponade: Report of a case

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Intrapericardial teratomas are rare after infancy. An accurate diagnosis can only be made with a high index of suspicion. Most of the time, a mediastinal teratoma ruptures/perforates the pericardial cavity, thus causing either pericardial effusion or life-threatening tamponade. These factors emphasize the importance of an early surgical excision even for extrapericardial locations. This report presents the case of a 16-year-old girl with intrapericardial teratoma who presented with cardiac tamponade which is a rare complication of this rare tumor with only eight cases reported so far beyond infancy. This patient presented with recurrent tamponade, and underwent multiple procedures of pericardiocentesis and developed pyopericardium and polyserositis. This intrapericardial teratoma was not detected by imaging modalities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Seguin JR, Coulon P, Huret C, Grolleau-Roux R, Chaptal PA. Intrapericardial teratoma in infancy: a rare disease. J Cardiovasc Surg 1986;27:509–511.

    CAS  Google Scholar 

  2. Niikawa H, Watanabe S, Hayasaka H, Sasaki Y, Nakamura R, Honda T, et al. Perforating mediastinal mature teratoma associated with acute cardiac tamponade; report of a case. Kyobu Geka 2004;57(9):901–904.

    PubMed  Google Scholar 

  3. Joel VJ. Ein Teratoma auf der arteria pulmonalis innerhalib des herzbeutals. Anatomie 1890;122:382.

    Google Scholar 

  4. Paw PT, Jamieson SW, Surgical management of intrapericardial teratoma diagnosed in utero. Ann Thorac Surg 1997;64(2): 552–554.

    Article  CAS  PubMed  Google Scholar 

  5. Mackenzie S, Loken S, Kalia N, Trenenen C, Harder J, Wong A, et al. Intrapericardial teratoma in Perinatal period. Case report and review of the literature. J Pediatr Surg 2005;40(12):e13.

    Article  PubMed  Google Scholar 

  6. De-Geeter B, Kretz JG, Nisand I, Eisenmann B, Kieny M, Kieny R. Intrapericardial teratoma in a newborn infant: use of fetal echocardiography. Ann Thorac Surg 1997;64:552–554.

    Article  Google Scholar 

  7. Kitagawa N, Ohhama Y, Fukuzato Y, Take H, Shinkai M, Nishi T, et al. Pericardial hemangioma presenting fetal cardiac tamponade and postnatal bronchostenosis. Pediatr Surg Int 2004; 20(5): 376–377.

    Article  PubMed  Google Scholar 

  8. Oomman A, Santhosham R, Vijayakumar C, Jayaraman S, Ramachandran P, Kumar S. Anterior mediastinal teratoma presenting as cardiac tamponade. Indian Heart J 2004;56(1):64–66.

    PubMed  Google Scholar 

  9. Dhir V, Gupta V, Gondal R, Banerjee A. Intrapericardial teratoma masquerading as pyopericardium. Indian J Chest Dis Allied Sci 2001;43(2):111–113.

    CAS  PubMed  Google Scholar 

  10. Vaideeswar P, Desupande JR, Sivaraman A. Intrapericardial teratoma a report of two cases. Indian J Path Microbiol 2000; 43(3):351–352.

    CAS  Google Scholar 

  11. Fujimori K, Honda S, Akutsu H, Ariga H, Ujiie N, Yanagida K, et al. Prenatal diagnosis of intrapericardial teratoma: a case report. J Obstet Gynaecol Res 1999;25(2):133–136.

    Article  CAS  PubMed  Google Scholar 

  12. Tollens T, Casselman F, Devlieger H, Gewillig MH, Vandenberghe K, Lerut TE, et al. Fetal cardiac tamponade due to an intra-pericardial teratoma. Ann Thorac Surg 1998;66(2):559–560.

    Article  CAS  PubMed  Google Scholar 

  13. Yoshida K, Yamanda T, Aoki T, Miyazawa M, Hanniuda M, Amano J. A case of mature teratoma perforated into the pericardial cavity. Nippon Kyobu Geka Gakkai Zasshi 1997;45(8): 1107–1110.

    CAS  PubMed  Google Scholar 

  14. Sklansky M, Greenberg M, Lucas V, Gruslin-Giroux A. Intrapericardial teratoma in a twin fetus: diagnosis and management. Obstet Gynecol 1997;89(5 Pt 2):807–809.

    Article  CAS  PubMed  Google Scholar 

  15. Uzun O, Dickinson DF, Watterson KG. Acute tamponade in a newborn infant caused by a massive cystic teratoma. Heart 1996;76(2):188.

    Article  CAS  PubMed  Google Scholar 

  16. Kulthe SG, Nadkarni UB, Singh A, Deshmukh CT, Jain MK, Shah MD. Recurrent Cardiac tamponade: intrapericardial teratoma Indian Pediatr 1995;32(1):88–89.

    CAS  PubMed  Google Scholar 

  17. Tsukamoto S, Omori K, Kitamura K, Ohata M, Sezai Y, Nemoto N. A case report of mediastinal teratoma complicated with cardiac tamponade. Nippon Kyobu Geka Gakkai Zasshi 1993;41(4): 688–693.

    CAS  PubMed  Google Scholar 

  18. Benatar A, Vaughan J, Nicolini U, Trotter S, Corrin B, Lincoln C. Prenatal pericardiocentesis: its role in the management of intrapericardial teratoma. Obstet Gynecol 1992;79(5 Pt 2): 856–859.

    CAS  PubMed  Google Scholar 

  19. Lee M, Lee Y, Ikusima H, Chin S, Lee M, Sakurai M. Resection of mediastinal teratoma in a patient with cardiac tamponade due to pericardial perforation. Nippon Kyobu Geka Gakkai Zasshi 1991;39(9):1771–1776.

    CAS  PubMed  Google Scholar 

  20. Rheuban KS, McDaniel NL, Feldman PS, Mayes DC. Intrapericardial teratoma causing nonimmune hydrops fetalis and pericardial tamponade: a case report. Pediatr Cardiol 1991;12(1):54–56.

    Article  CAS  PubMed  Google Scholar 

  21. Prabhakar G, Nigam BK, Williams WG. Benign mediastinal teratoma causing pericardial tamponade and pleural effusion. Eur J Cardiothorac Surg 1987;1(1):53–54.

    Article  CAS  PubMed  Google Scholar 

  22. Carachi R, Campbell PE, Chow CW, Mee BB. Alpha-fetoprotein-(AFP)-secreting intra-pericardial teratoma — report of a case diagnosed on CT scanning. Z Kinderchir 1986;41(6): 369–370.

    CAS  PubMed  Google Scholar 

  23. Sano S, Shimizu Y, Shimizu N, Senou Y, Teramoto S, Taguchi K, et al. Acute cardiac tamponade due to perforation of a benign mediastinal teratoma into the pericardial sac. Nippon Kyobu Geka Gakkai Zasshi 1983;31(4):527–532.

    CAS  PubMed  Google Scholar 

  24. Serlo WS, Heikkinen E. Cardiac tamponade caused by a mediastinal teratoma. Scand J Thorac Cardiovasc Surg 1983;17(3): 323–325.

    CAS  PubMed  Google Scholar 

  25. Fujino S, Watanabe Y, Sato H, Iwa T, Matsubara F, Kitagawa M. Acute cardiac tamponade due to mature mediastinal teratoma penetrating into the pericardium (in Japanese). Nihon Kyobu Shikkan Gakkai Zasshi 1980;18(9):649–653.

    CAS  PubMed  Google Scholar 

  26. Torres-Aybar FG, Basora G, Lopez-Busquets RH, Rodriguez-Estape HF. Intrapericardial teratoma: a cause of cardiac tamponade in infancy. Bol Asoc Med P R 1975;67(12):366–368.

    CAS  PubMed  Google Scholar 

  27. Marsten JL, Cooper AG, Ankeney JL. Acute cardiac tamponade due to perforation of a benign mediastinal teratoma into the pericardial sac. Review of cardiovascular manifestations of mediastinal teratomas. J Thorac Cardiovasc Surg 1966;51(5):700–707.

    CAS  PubMed  Google Scholar 

  28. Laquay N, Ghazouani S, Vaccaroni. Intrapericardial teratoma in newborn babies. Eur J Cardiothorac Surg 2003;23:642–644.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Singh, J., Rana, S.S., Kaur, A. et al. Intrapericardial teratoma presenting as recurrent pericardial tamponade: Report of a case. Surg Today 39, 700–704 (2009). https://doi.org/10.1007/s00595-008-3903-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-008-3903-7

Key words

Navigation