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Herniated Right Ovarian Teratoma through the Right Thigh via Obturator ForamenClinical History: Figure 1: Axial noncontrast CT image shows herniated right pelvic mass through the posterior and medial thigh region via obturator foramen. Mass is composed mostly of fatty tissue (-150 HU) with internal streaks. Figure 2: Distally, the mass contains nodular lesion that isodense with muscle tissue. Findings: A 4-year-old girl was admitted to paediatric surgery clinic for longstanding, palpable mass at the right thigh. Diagnosis:
Discussion: Teratomas, by definition, are tumors that are composed of multiple tissues containing at least two germ-layer derivatives foreign to the part of the body in which they arise. Ovarian teratomas comprise about 37% of all teratomas in infants and children, and are second only to sacrococcygeal as the most common site for teratoma (1). References / Suggested Reading: Right ovarian herniated teratoma.
Fri, 04/18/2008 - 17:21
#2
 
Very unusual case indeed. Thanks for sharing with us.
Sat, 04/19/2008 - 04:47
#3
Dr. Ali. Congratulations on submitting a very rare case of herniation of ovarian teratoma. Such kind of presentation of ovarian teratoma has never been reported so far in any of the pubmed indexed journals.
Sun, 04/20/2008 - 00:27
#4
very rare case. So little girl with such a big teratoma. I believe that nothing is impossible. I saw teratoma but never saw teratoma with herniation. Thank you. |
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Ali:
This is a fabulous case. I have seen many obturator hernias but not a case with mature cystic teratoma herniating through the obturator foramen.
Thank you for submitting such an interesting case.
Vikram S Dogra, MD
Professor of Radiology, Urology and BME
USA
Vikram Dogra, MD Professor of Radiology,Urology & BME University of Rochester, NY