Midgut Volvulus Caused by Mesenteric Lipoma

Iran J Pediatr; Vol 23 (No 1), Feb 2013 Published by: Tehran University of Medical Sciences (http://ijp.tums.ac.ir) ventricular septal defect and pulmonary stenosiswere detected during Echocardiographicassessment.After essential evaluation and preparation, thepatient underwent surgery and a large mid-facialprotrusion was resected. Pathology reportedneoplastic tissue consisting of heterologouselements such as skin and its appendages,glandular structure, cartilage, marrow elementsand bone with no evidence of neuroepithelialelements compatible with mature teratoma.Nasal masses could be due to glioma,meningoencephalocele, encephalocele, conge-nital rabdomyosarcoma, and lymphatic malfor-mations[5,6]. Tumor arising from hard and softpalate and Rathke’s pouch are called epignathusteratomas.Sometimes a fetus bearing teratoma is unableto swallow amniotic fluid due to its mass effect,thus polyhydramnios may be detected at about15% of pregnant women[1].The main treatment of teratoma is Surgery. Theoverall long term prognosis is excellent andrelapses take place rarely. Despite benign natureof teratomas, routine follow-up is necessary inall cases[5]. In our patient in 1 year follow-up, norecurrence occurred and alfa fetoprotein (AFP)levels reduced after tumor resection.