Management of neonatal abdominal immature teratoma in a resource-limited South African hospital: a case report

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Date
2025
Authors
Kajitani, Sten
Feore, Anna
Desai, Tyaag
Kajitani, Keston
Hall, Daniel
Gafoor, Mahomed Hoosen Sheik
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UCC Medical Research and Technology Society
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Research Projects
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Abstract
Introduction: Abdominal immature teratomas, rare congenital tumors, primarily originate from the gonads but can also present in extragonadal locations. Typically identified prenatally, these tumors carry a high risk of in-utero complications, often leading to fetal demise. This case report details the successful management of an abdominal immature teratoma in a neonate at a resource-limited hospital in South Africa, highlighting unique treatment adaptations for such complex cases in low-resource settings. Methods: A 28-day-old neonate with abdominal distention underwent initial imaging, revealing a heterogeneous mass in the left retroperitoneum. Following a multidisciplinary evaluation, the patient was initially managed with chemotherapy based on a differential diagnosis including neuroblastoma. However, a biopsy confirmed an immature teratoma, necessitating a shift in management to surgical resection. The neonate underwent a left nephrectomy and excision of the tumor, followed by postoperative intensive car
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Keywords
Neonatal abdominal immature teratoma , South Africa
Citation
Kajitani, S., Feore, A., Desai, T., Kajitani, K., Hall, D. and Gafoor, M. H. S. (2025) 'Management of neonatal abdominal immature teratoma in a resource-limited South African hospital: a case report', UCC Student Medical Journal, 5, p.115. https://doi.org/10.33178/SMJ.2025.1.41
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