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Case Report
Gastric teratoma: An uncommon cause of gastrointestinal bleeding in children
1 University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA
2 Department of Pediatrics, Nationwide Children’s Hospital, Columbus, OH, USA
3 Department of Pediatric Gastroenterology, ProMedica Russell J. Ebeid Children’s Hospital, Toledo, OH, USA
Address correspondence to:
Jenny Chen
3000 Arlington Avenue, Toledo, OH 43614,
USA
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Article ID: 100014Z19JC2022
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Chen J, Springer J, Banerjee S, Kumar R. Gastric teratoma: An uncommon cause of gastrointestinal bleeding in children. J Case Rep Images Pediatr 2022;4:100014Z19JC2022.ABSTRACT
Introduction: Gastric teratomas are a rare cause of abdominal mass in the pediatric population.
Case Report: We report a 26-day-old male who presented with hematemesis. Initial abdominal radiography showed a round soft tissue density within the stomach despite unremarkable abdominal ultrasonography. Upper endoscopy revealed a polypoid mass within the fundus of the stomach without active bleeding. Computed tomography showed a hypodense area in the gastric fundus without exo-gastric involvement. Surgical excision by laparotomy was successfully completed with the excision of a 3.2 × 2.0 × 1.4 cm polypoid mass with a focal hemorrhagic surface, arising from the posterior wall of the stomach. Histopathology of frozen section confirmed the diagnosis of a benign mature teratoma of the stomach. Post-operative course was uneventful. Six-month follow-up upper endoscopy biopsies were grossly normal with no evidence of tumor reoccurrence.
Conclusion: Gastric teratomas have a favorable prognosis but require a high index of suspicion for diagnosis due to its variable and non-specific presentation.
Keywords: Endo-gastric tumor, Gastric teratoma, Mature, Pediatric
SUPPORTING INFORMATION
Author Contributions
Jenny Chen - Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Jennifer Springer - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sanjoy Banerjee - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Rakesh Kumar - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe senior author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient’s guardian.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Jenny Chen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
