CC BY 4.0 · European J Pediatr Surg Rep. 2022; 10(01): e6-e8
DOI: 10.1055/s-0041-1741509
Case Report

Umbilical Cord Teratoma Presenting as Ruptured Omphalocele

Fabian Doktor
1   Department of Pediatric Surgery, University of Leipzig, Leipzig, Saxony, Germany
,
Jan-Hendrik Gosemann
1   Department of Pediatric Surgery, University of Leipzig, Leipzig, Saxony, Germany
,
Peter Zimmermann
1   Department of Pediatric Surgery, University of Leipzig, Leipzig, Saxony, Germany
,
Manuela Siekmeyer
2   Department of Pediatrics, University of Leipzig, Leipzig, Saxony, Germany
,
Holger Stepan
3   Division of Obstetrics, University of Leipzig, Leipzig, Saxony, Germany
,
Martin Lacher
1   Department of Pediatric Surgery, University of Leipzig, Leipzig, Saxony, Germany
4   Klinik und Poliklinik für Kinderchirurgie, Universitätsklinikum Leipzig, Leipzig, Germany
› Author Affiliations

Abstract

Congenital mature teratomas of the umbilical cord are extremely rare. We report on a girl who presented with a ruptured omphalocele and a 7 cm mass connected to the umbilicus, which we resected on the first day of life. Histology revealed mature umbilical cord teratoma . On the 29th day of life, a secondary laparotomy was necessary to address the associated intestinal malformations (megaduodenum, stenotic small bowel with duplication and malrotation). After a prolonged hospital stay, we discharged the patient in age-appropriate conditions. Antenatal diagnosis of an umbilical cord tumor can be challenging in the presence of an omphalocele. Given the high prevalence of associated malformations, the finding of umbilical cord teratoma should be followed by a detailed and comprehensive neonatal workup for additional abnormalities.



Publication History

Received: 21 December 2020

Accepted: 18 January 2021

Article published online:
03 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany