ArticleInternational journal of surgery case reports2023
Elective video-assisted thoracic surgery for a ruptured mature mediastinal teratoma: A case report.
Article in International journal of surgery case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 1 citations in OpenAlex.
- Mature anterior mediastinal teratoma presenting with trichoptysis: a case report.Journal of cardiothoracic surgery · 2026Article
- Thoracoscopic Resection of a Mediastinal Mature Cystic Teratoma in a Two-month-Old Infant: A Case Report and Literature Review.Pediatric health, medicine and therapeutics · 2025Article
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4 authors at 1 institution in 1 country.
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Abstract
introduction and importanceMature mediastinal teratomas can rarely become symptomatic after a compression of surrounding organs and a rupture and are often treated with an emergency open approach such as median sternotomy. Clinical significance of thoracoscopic approach as elective setting is unknown. CASE PRESENTATION: A previously healthy 21-year-old man presented with worsening left-sided chest pain for one week. Chest computed tomography revealed a multilocular cystic mass with no evidence of great vessel invasion. A histopathological examination of the biopsy specimen revealed that the pancreatic glands and ductal elements were without any immature embryonic tissue, consistent with a mature teratoma. After the symptoms improved, he successfully underwent an elective video-assisted thoracic surgery as a substitute for an emergency median sternotomy. CLINICAL DISCUSSION: The ectopic pancreatic tissue itself may not imply an emergency surgery and a comprehensive workup is essential for an optimal treatment strategy. Elective surgery is worthy of consideration as a therapeutic option.
conclusionElective video-assisted thoracic surgery could be a feasible option even for a ruptured mature mediastinal teratoma in selected patients. Besides its maximum size, a large proportion of the cystic component and the absence of great vessel invasion may indicate the feasibility of a video-assisted thoracic surgery.
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