Introduction: Intrapericardial teratoma is a rare tumor usually diagnosed in newborns, generally affecting children under one year old. We report a case in an infant revealed by cardiac tamponade. Observation: This is a male newborn, 3 weeks old, with no notion of parental consanguinity. The pregnancy was followed with 4 prenatal consultations, no particularities on the assessments carried out, no ultrasound done, and was born vaginally after 37 SA 3 days. He shows good psychomotor development and good somatic growth. He received a picture of global heart failure with signs of tamponade. Two-dimensional echocardiography revealed an intrapericardial mass (51 mm × 38 mm) with abundant pericardial effusion compressing the heart. Complete surgical resection was performed without complications. Tumor histology confirmed the diagnosis of intrapericardial teratoma. The evolution was favorable with regression of all clinical signs after resection. Conclusion: Teratomas are rare primary cardiac tumors generally diagnosed in newborns and infants. They are usually benign tumors but can be life-threatening due to pericardial effusion and cardiac compression.
Cite this paper
Coundoul, A. M. , Konate, S. , Faye, P. M. , Fall, A. L. , Sow, A. , Diagne, G. , Mbaye, A. , Kane, A. , Mbodj, M. , Bop, K. , Ndiaye, S. T. , Sow, P. S. , Sow, N. F. , Seck, M. A. , Fattah, M. and Ndiaye, O. (2023). Intrapericardial Teratoma: About a Case. Open Access Library Journal, 10, e8969. doi: http://dx.doi.org/10.4236/oalib.1108969.
De Geeter, B., Kretz, J.G., Nisand, I., Eisenmann, B., Kieny, M.-T. and Kieny, R. (1983) Intrapericardial Teratoma in Newborn Infant: Use of Fetal Echocardiography. The Annals of Thoracic Surgery, 35, 664-666.
Omek, V., Vlk, R., Tlaskal, T. and Skovranek, J. (2010) Successful Pericardioamniotic Shunting for Fetal Intrapericardial Teratoma. Pediatric Cardiology, 31, 1236-1238.
Grebille, A. G., Mitanchez, D., Benachi, A., et al. (2003) Pericardial Teratoma Complicated by Hydrops: Successful Fetal Therapy by Thoracoamniotic Shunting. Prenatal Diagnosis, 23, 735-739. https://doi.org/10.1002/pd.698
Ouldamer, L., Wagner, A., Potina, J., et al. (2012) Prenatal Management of a Fetal Pericardial Teratoma with Pericardio-Amniotic Shunting: A Case Report. Journal of Obstetrics Gynecology and Reproductive Biology, 41, 92-95.
Sklansky, M., Greenberg, M., Lucas, V. and Grulin-Giroux, A. (1997) Intrapericardial Teratoma in a Twin Fetus: Diagnosis and Management. Obstetrics & Gynecology, 89, 807-809. https://doi.org/10.1016/S0029-7844(97)00031-8
Tollens, T., Casselmann, F. and Devlieger, H. (1998) Fetal Cardiac Tamponade Due to an Intrapericardial Teratoma. The Annals of Thoracic Surgery, 66, 559-560.
Agozzino, L., Vosa, C., Arciprete, P., Leva, F. and Cotrufo, M. (1984) Intrapericardial Teratoma in the Newborn. International Journal of Cardiology, 5, 21-28.