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

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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.

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Authors and Affiliations

  1. Department of Cardiovascular and Thoracic Surgery, Military Hospital (Cardiothoracic Centre), Golibar Maidan, Pune, India, 411040

    Jaswinder Singh, Amulyajit Kaur & Rajeshwar Sharma

  2. Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India

    Sandeep Singh Rana, Vishal Srivastava & Harkant Singh

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  1. Jaswinder Singh
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  2. Sandeep Singh Rana
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  3. Amulyajit Kaur
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  4. Vishal Srivastava
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  5. Harkant Singh
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  6. Rajeshwar Sharma
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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

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

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