Abstract
BackgroundTeratoma of the hepatoduodenal ligament is a rare entity. Only 17 cases of hepatoduodenal ligament teratoma exist in the literature.Case presentationA girl with antenatally detected intraabdominal lesion was brought to us at the age of 3 years for the prime concern of progressive abdominal distension. Evaluation showed that the mass was a teratoma arising likely from the hepatoduodenal ligament. During the excision, there was an inadvertent pin-point perforation of the common bile duct. Primary repair of the common bile duct was performed. The child had an uneventful recovery.ConclusionsThe significance of anticipating complications and taking adequate measures while dissecting the porta has been emphasized in this kind of rare location of a teratoma.
Highlights
Teratoma of the hepatoduodenal ligament is a rare entity
We describe a case of a mature cystic teratoma of the hepatoduodenal ligament (HDL), in which the common bile duct (CBD) was injured despite all precautions
This case stresses the importance of preoperative identification of this rare entity, which, when done, should alarm the surgeon to be cautious during the operation
Summary
Teratoma in the hepatoduodenal ligament (HDL) is an infrequent entity. Only 17 cases had been reported in the literature until this report [1, 2]. We describe a case of a mature cystic teratoma of the HDL, in which the common bile duct (CBD) was injured despite all precautions. This case stresses the importance of preoperative identification of this rare entity, which, when done, should alarm the surgeon to be cautious during the operation. Case presentation A 3-year-old girl presented to us with abdomen distention. She had been diagnosed with a small (2 × 1cm) mass at hepatic hilum on third-trimester antenatal ultrasound. The abdominal drain had minimal serosanguinous output in the postoperative period and was removed on the 5th postoperative day She had no fever, vitals were stable, and the wound was healthy.
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