1990
DOI: 10.1007/bf01888787
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Peritonitis due to rupture of retroperitoneal teratoma: Computed tomography diagnosis

Abstract: Retroperitoneal benign cystic teratoma is relatively rare in adults. We report a case of traumatic rupture of primary retroperitoneal teratoma into peritoneum that produced chemical peritonitis. It was demonstrated by computed tomography, which showed fat-fluid levels in the peritoneum. We suggest that the demonstration of fat-fluid levels in the peritoneum could be a reliable sign of intraperitoneal rupture of abdominal teratoma and subsequent chemical peritonitis.

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Cited by 21 publications
(15 citation statements)
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“…Ferrero et al [29] reported a case of chemical peritonitis secondary to a traumatic rupture of a primary retroperitoneal teratoma following a motor vehicle collision. Lin et al [30] reported a case of primary retroperitoneal teratoma in a 31 year old women in China who presented with dyspnea and chest discomfort.…”
Section: Presentationmentioning
confidence: 98%
See 1 more Smart Citation
“…Ferrero et al [29] reported a case of chemical peritonitis secondary to a traumatic rupture of a primary retroperitoneal teratoma following a motor vehicle collision. Lin et al [30] reported a case of primary retroperitoneal teratoma in a 31 year old women in China who presented with dyspnea and chest discomfort.…”
Section: Presentationmentioning
confidence: 98%
“…A chest radiograph demonstrated an elevated left hemidiaphragm. Other reports include presentation with an acute abdomen [31], rupture of a retroperitoneal teratoma into the lung [32], empyema developing after an infected retroperitoneal teratoma ruptured through diaphragm [33], and hydronephrosis with rupture into the biliary ducts and stomach [29].…”
Section: Presentationmentioning
confidence: 99%
“…In others, they may present with abdominal pain/flank pain/back pain which are nonspecific in nature, abdominal swelling, palpable mass or obstructive gastrointestinal and genitourinary symptoms [6]. Rarely they may present with abscess formation due to secondary infections [10], or acute peritonitis due to rupture [11], or malignant transformations [12]. In some cases, the tumor may be present antenatally and detected at birth.…”
Section: Discussionmentioning
confidence: 99%
“…Clinical presentations are variable and include nonspecific, abdominal/flank/back pain, obstructive gastrointestinal and genitourinary symptoms, as well as lower limb/genital swelling due to lymphatic obstruction [18]. They can rarely present with complications such as secondary infections (abscess formation) [20], traumatic rupture leading to acute peritonitis [21], or malignant transformations [22]. Midline (paraxial) teratoma masses, with restricted mobility, can be easily detected on physical examination [23].…”
Section: Discussionmentioning
confidence: 99%