EXTENDED RIGHT HEPATECTOMY FOR HEPATIC TERATOMA: A CASE REPORT
Akanand Singh*, Rakesh K. Sah
Grande International Hospital, Kathmandu, Bagmati, Nepal
Majorities of the teratoma are gonadal teratomas in children. However, we can find many reported cases of extragonadal teratoma in literatures also in adult, but hepatic teratoma is very rare and worldwide there are only few cases reported.
We present a case of 23 year-old female who presented with us with pain right upper abdomen. On evaluation there was large complex cystic mass (17.3 × 15.3 × 14.8 cm) with areas of calcifications, fat and few enhancing area in the region of Segment IV, VII and VIII of liver extending to subdiaphragmatic region suggesting the features of immature teratoma. She had history of abdominal surgery 9 months back for ovarian cyst (? teratoma). Preoperative evaluation was done for extended right hepatectomy. Right hepatic artery, Right Portal Vein was isolated, tied and transected. Ischemic plane was marked and liver resection was done with harmonic and Kelly clamp crushing method. Tumor along with liver of 30 cm length and 2 Kg of weight was excised. Surgery went smooth however there was blood transfusion reaction (antibody related) which was managed successfully. Histopathology report showed mature teratoma.
In conclusion, hepatic teratoma is rare and it should be considered when dealing with unclear hepatic cyst. Liver resection can be treatment of choice for hepatic teratoma.
Preoperative CT Scan showing large cystic lesion in liver
Huge hepatic tumor after surgery
Back to 2023 Posters