omphalocele with associated teratoma hiromichi …
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THE KURUME MEDICAL JOURNAL Vol. 18, No. 4, 1971
OMPHALOCELE WITH ASSOCIATED TERATOMA
IN A NEONATE
HIROMICHI YANO AND HIROYOSHI MIZOTE
First Department of Surgery, Kurume University School of Medicine, Kurume, Japan
(Received for publication August 1971)
A 6-hour-old full-term male, 2750g at birth, was admitted with chief com-
plaints of abdominal tumors, exomphalos and defect of the abdominal wall (Fig. 1). A slightly low temperature was present and acid-base balance (pH 7.388, PCO2 40.2 mmHg, HCO3 23.6 mEq/L, B. E. -0.5 mEq/L) was within normal range. General condition was relatively
good.
Fig. 1 A 6-hour-old full-term male.
Two tumors in the central region on the
abdomen. One of them in the umbilical
region is small omphalocele. Abdominal
organ is visible under the peritoneum
and amnion. Another is a solid tumor.
There were two large tumors on the
abdomen, through one of which the organ in the peritoneal cavity was
seen. Another tumor was as large as
an egg, pedunculated, and elastic soft.
The diagnosis on admission was ompha-locele with associated tumors on the
abdominal wall.
An operation was performed on 9 hours after birth. Its findings were
as follows. At first we removed the
pedunculated tumor. And through a skin incision around the rim of the
omphalocele, performed Gross's one stag-
ed operation with excision of a radix of the hepatic lobe which was the
content of the hernia hanging down with a cord from median portion of the
left and right hepatic lobes. The excised
specimens are presented in Fig. 2. and cut surface of the pedunculated tumor
in Fig. 3. These pedunculated tumor
Fig. 2 Excised specimens. Left to right,
solid tumor, excised hepatic lobe, and
umbilical cord.
231
232 YANG, H. ET AL.
was diagnosed to be teratoma on histo-
logical finding. The baby improved satis-factorily after the operation and was
discharged in good condition 18 days
after he was admitted.
Recently Scobie, W. G. et al. has
presented one case report of umbilical hernia with associated hamartoma in a
neonate. But a search of the literature has revealed no similar case. Thus we
reported this case as rare one.
We wish to express our thanks to Prof.
Wakisaka for his constant interest and gui-
dance in this investigation.
REFERENCES
1) GROSS, R. E.: Surgery of Infancy and
Childhood, Saunders, Co. 1958.
Fig. 3 Cut surface of the solid tumor.
Cartilage tissue recognized.
2) SCOBIE, W. G. and ECKSTEIN, H. B.: Um-
bilical hernia with associated hamartoma
in a neonate, J. Ped. Surg.. 6, 73, 1971.
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