-
- Ogino Kei
- First Department of Surgery, Dokkyo Medical University Hospital Pediatric Surgery, Tokyo Medical and Dental University
-
- Matsudera Shoutaro
- First Department of Surgery, Dokkyo Medical University Hospital
-
- Watanabe Shun
- First Department of Surgery, Dokkyo Medical University Hospital
-
- Tani Yukiko
- First Department of Surgery, Dokkyo Medical University Hospital
-
- Yamaguchi Takeshi
- First Department of Surgery, Dokkyo Medical University Hospital
-
- Okamoto Kentaro
- Pediatric Surgery, Tokyo Medical and Dental University
-
- Nakajima Masanobu
- First Department of Surgery, Dokkyo Medical University Hospital
-
- Yamaguchi Satoru
- First Department of Surgery, Dokkyo Medical University Hospital
-
- Tsuchioka Takashi
- First Department of Surgery, Dokkyo Medical University Hospital
-
- Kojima Kazuyuki
- First Department of Surgery, Dokkyo Medical University Hospital
Bibliographic Information
- Other Title
-
- 膵組織を含むAltman IV型仙尾部奇形腫の1例
- 症例報告 膵組織を含むAltman Ⅳ型仙尾部奇形腫の1例
- ショウレイ ホウコク スイソシキ オ フクム Altman Ⅳ カタセンビブ キケイ シュ ノ 1レイ
Search this article
Abstract
<p>The patient was a girl aged 8 months. She was brought to a private clinic owing to fever and vomiting. The next day, she had abdominal distension and was transported to our hospital. Blood tests showed an inflammatory response and elevated levels of pancreatic amylase. Abdominal MRI revealed an Altman type IV sacrococcygeal teratoma. Surgery was scheduled after improvement of the inflammatory response of peritonitis by fasting and administration of antibiotics. After that, when oral intake was resumed to improve the nutritional status, symptoms of pancreatitis relapsed, and inflammatory reaction and elevation of pancreatic amylase levels were observed. When fasting was started again, fever was reduced, and abdominal symptoms and pancreatic amylase levels improved. The tumor was resected on the 18th day of admission. It was diagnosed as mature cystic teratoma including pancreatic tissue on the basis of histopathological findings. In addition, elevated levels of pancreatic enzymes in the cyst fluid and ascites fluid were observed. We experienced treating a case of Altman type IV sacrococcygeal teratoma, which contained pancreatic tissue in the tumor and caused peritonitis owing to pancreatic enzymes released from the tumor. If the tumor contains ectopic pancreatic tissue, pancreatic enzymes secreted by the tumor may cause inflammation of surrounding organs.</p>
Journal
-
- Journal of the Japanese Society of Pediatric Surgeons
-
Journal of the Japanese Society of Pediatric Surgeons 56 (4), 383-387, 2020-08-20
The Japanese Society of Pediatric Surgeons
- Tweet
Details 詳細情報について
-
- CRID
- 1390003825206629376
-
- NII Article ID
- 130007889068
-
- NII Book ID
- AN00192281
-
- ISSN
- 21874247
- 0288609X
-
- NDL BIB ID
- 030635713
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL
- CiNii Articles
-
- Abstract License Flag
- Disallowed