scholarly journals Traumatic Rupture of A Posterior Mediastinal Teratoma following Motor-Vehicle Accident

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Christopher Bell ◽  
Fernando Domingo ◽  
Ashley D. Miller ◽  
Jeremiah S. Smith ◽  
James R. Headrick

We report a case of a posterior mediastinal mature cystic teratoma with rupture secondary to blunt chest trauma in a 20-year-old male involved in a motor-vehicle accident. Initial treatment was guided by Advanced Trauma Life Support and a tube thoracostomy was performed for presumed hemothorax. The heterogeneous collection within the thoracic cavity was discovered to be the result of a ruptured cystic mass. Pathologic findings confirmed the mass consistent with a mature cystic teratoma. As mediastinal teratomas are most commonly described arising from the anterior mediastinum, the posterior location of the teratoma described in this report is exceedingly rare.

Trauma ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 139-141
Author(s):  
TA Yuvaraj Davidson ◽  
Parma Nand

Traumatic rupture of the pericardium with herniation of the heart can be a potentially lethal injury that can be easily overlooked. Prompt diagnosis and repair can be lifesaving. We report such a case with successful repair of this injury in a 45-year-old male who sustained multiple injuries following a motor vehicle accident. CT scan revealed rupture of the pericardium with herniation of the heart. The pericardial tear was promptly repaired by primary closure. This report gives an insight into this life threatening, yet promptly treatable condition, which can be easily missed resulting in a fatal outcome. Having a high index of suspicion while treating thoracic trauma patients can prevent fatalities. Immediate referral to a cardiothoracic service or closure of the tear through a thoracotomy, if the expertise is available, can be lifesaving.


2016 ◽  
Vol 65 (4) ◽  
Author(s):  
C. Zisis ◽  
S. Fragoulis ◽  
D. Rontogianni ◽  
G. Stratakos ◽  
I. Bellenis

A rare case of malignant peripheral nerve sheath tumour with rhabdomyoblastic differentiation (malignant triton tumour) of the anterior mediastinum in a 30-yearold male is reported. The tumour was an incidental finding during the diagnostic work-up following a motor vehicle accident. The patient underwent median sternotomy with a tumour resection performed. Local relapse was suspected one month later, as per the chest CT-scan, and post-operative chemoradiation was applied, which produced a response. Twelve months later the patient is doing well while radiological findings remain invariable. Localization of a triton tumour in the anterior mediastinum is extremely rare, adjuvant treatment is necessary, recurrence frequently occurs and the prognosis is dismal.


2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Muge Coban-Karatas ◽  
Rana Altan-Yaycioglu

We report a case with severe head trauma and perforating globe injury in one eye and ischemic retinopathy and neovascular proliferation in the other eye. A 37-year-old male was brought to the emergency department after a motor vehicle accident with severe maxillofacial trauma. Ophthalmic examination revealed hematoma of the left eyelids as well as traumatic rupture and disorganization of the left globe. On the right eye, anterior segment and fundoscopic examination were normal. Primary globe repair was performed. At postoperative one-month visit, the right eye revealed no pathology of the optic disc and macula but severe neovascularization in the temporal peripheral retina. The patient was diagnosed as ischemic retinopathy and neovascular proliferation due to head trauma.


2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
James Benjamin Gleason ◽  
Anas Hadeh ◽  
Maria Julia Diacovo ◽  
Jonathan Ryan Schroeder

Splenosis is a rare condition that results from the autotransplantation of splenic parenchyma into unexpected locations such as the abdomen or subcutaneous tissue. In the presence of coexisting injury to the diaphragm intrathoracic transplantation can occur emerging as single or multiple pleural-based masses. This occurs after traumatic rupture of the spleen and is usually asymptomatic, only to be discovered incidentally on routine thoracic or abdominal imaging. To our knowledge this is the third documented case of combined intrathoracic and subcutaneous splenosis found in English literature. This occurred in a 71-year-old male involved in a motor vehicle accident at age 19 requiring urgent splenectomy. He has a significant cigarette smoking history and was referred to our hospital for further evaluation of an abnormality seen on shoulder X-ray.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Taku Furukawa ◽  
Yudai Iwasaki ◽  
Yuji Otsuka ◽  
Takashi Moriya ◽  
Masamitsu Sanui

Author(s):  
A. Morgan

Benign cystic tumors can originate from the retroperitoneum and are known to develop in adult males and females asymptomatically. Radiological diagnosis of teratomas in the retroperitoneal region is difficult and often confused with myelolipoma or other lipomatous tumors. This case report describes the incidental finding of mature cystic teratoma of the retroperitoneal region, which ruptured post motor vehicle accident (MVA) in 31years, old female patient. The patient present to the emergency department 24 hours post-accident with symptoms and signs of peritoneal inflammation. As a result of the seat belt injury, the cystic teratoma of the left retroperitoneum had ruptured. Due to anatomical location, the cyst was only partially removed. This case report has raised multiple clinical dilemmas and is the first of its kind in trauma patient management of mature cystic teratoma.


Author(s):  
A. Morgan

Benign cystic tumors can originate from the retroperitoneum and are known to develop in adult males and females asymptomatically. Radiological diagnosis of teratomas in the retroperitoneal region is difficult and often confused with myelolipoma or other lipomatous tumors. This case report describes the incidental finding of mature cystic teratoma of the retroperitoneal region, which ruptured post motor vehicle accident (MVA) in 31years, old female patient. The patient present to the emergency department 24 hours post-accident with symptoms and signs of peritoneal inflammation. As a result of the seat belt injury, the cystic teratoma of the left retroperitoneum had ruptured. Due to anatomical location, the cyst was only partially removed. This case report has raised multiple clinical dilemmas and is the first of its kind in trauma patient management of mature cystic teratoma.


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