Infected primary retroperitoneal teratoma presenting as a subhepatic abscess in a postpartum woman.
It is highly unusual for a 20-cm retroperitoneal teratoma to present as a subhepatic abscess with septic shock in a postpartum woman. We present a case of a multilocular cystic teratoma densely adherent to adjacent viscera and vessels. Because of the complexity of the case and the clinical condition of the patient, a 2-stage operation was employed for this special case. An initial emergency drainage effectively relieved symptoms of acute infection and facilitated the 2nd-stage resection of the tumor.
Li
Fuyu
F
Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu, China. lfy_74@vip.163.com
Munireddy
Sanjay
S
Jiang
Lisheng
L
Cheng
Nansheng
N
Mao
Hui
H
Pawlik
Timothy M
TM
D018784:Abdominal Abscess / Q000209:etiology* / Q000473:pathology; D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011644:Puerperal Disorders / Q000209:etiology* / Q000473:pathology; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000473:pathology*; D012772:Shock, Septic / Q000209:etiology / Q000601:surgery; D013724:Teratoma / Q000150:complications / Q000473:pathology*; D018084:Ultrasonography, Interventional