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 stenosis were detected during Echocardiographic assessment. After essential evaluation and preparation, the patient underwent surgery and a large mid-facial protrusion was resected. Pathology reported neoplastic tissue consisting of heterologous elements such as skin and its appendages, glandular structure, cartilage, marrow elements and bone with no evidence of neuroepithelial elements compatible with mature teratoma. Nasal masses could be due to glioma, meningoencephalocele, encephalocele, congenital rabdomyosarcoma, and lymphatic malformations[5,6]. Tumor arising from hard and soft palate and Rathke’s pouch are called epignathus teratomas. Sometimes a fetus bearing teratoma is unable to swallow amniotic fluid due to its mass effect, thus polyhydramnios may be detected at about 15% of pregnant women[1]. The main treatment of teratoma is Surgery. The overall long term prognosis is excellent and relapses take place rarely. Despite benign nature of teratomas, routine follow-up is necessary in all cases[5]. In our patient in 1 year follow-up, no recurrence occurred and alfa fetoprotein (AFP) levels reduced after tumor resection.