Abstract
We wish to present a very unusual case of a toddler girl who presented with acute abdomen and features of peritonitis. Inflammatory markers were high but tumor markers were all within normal limits. The plain abdominal radiograph indicated suspicious small free air under the dome of diaphragm. Chest radiograph in standing position confirmed the suspicion but incidentally showed a well-defined soft tissue mass in the mediastinum over left hilar region. Contrast enhanced computed tomography of chest, abdomen and pelvis confirmed mature left mediastinal teratoma and appendicular abscess. The patient underwent laparoscopic drainage of appendicular abscess and appendicectomy and was discharged home after 6 days. An elective thoracoscopic resection of left mediastinal teratoma was performed uneventfully. The patient is asymptomatic with normal tumor markers and chest radiograph at 10 years follow up.
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