• African health sciences · Sep 2022

    Case Reports

    Spontaneous intrapleural rupture of mediastinal teratoma in child.

    • Ines Trabelsi, Marwa Zarrad, Manel Ben Romdhane, Sadok Boudaya, Fatma Khalsi, and Khedija Boussetta.
    • Pediatric Department B, Children's Hospital of Tunis, Tunisia.
    • Afr Health Sci. 2022 Sep 1; 22 (3): 317321317-321.

    IntroductionMediastinal teratomas are rare in children. Nevertheless, they represent the most frequent mediastinal germ cell tumor. Most often, they are discovered incidentally in older children or adolescents on chest X-ray. There are other signs of discovery but less frequent: chest pain, hemoptysis and signs of mediastinal compression. Rupture into pleural space, pericardium or tracheobronchial tree are exceptional.Case PresentationWe report the case of 7-years old girl admitted for chest pain. The chest x-ray showed a mediastinal mass with calcifications and pleural effusion. Chest CT scan revealed a well limited heterogeneous anterior mediastinal mass with calcifications and a left pleural effusion. She underwent a median sternotomy and the tumor was completely excised. Histopathology confirmed the diagnosis of mature teratoma.ConclusionIntrapleural rupture is a rare complication of mature teratoma. Calcifications on chest imaging in afebrile children with pleural effusion should be suspected of mediastinal teratoma.© 2022 Trabelsi I et al.

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