Rupture of mature cystic teratoma induced by a car accident

Abstract

Benign cystic tumors can originate from the retroperitoneum and are known to develop in adult males and females asymptomatically. Radiological diagnosis of teratomas in the retroperitoneal region is difficult and often confused with myelolipoma or other lipomatous tumors. This case report describes the incidental finding of mature cystic teratoma of the retroperitoneal region, which ruptured post motor vehicle accident (MVA) in 31years, old female patient. The patient present to the emergency department 24 hours post-accident with symptoms and signs of peritoneal inflammation. As a result of the seat belt injury, the cystic teratoma of the left retroperitoneum had ruptured. Due to anatomical location, the cyst was only partially removed. This case report has raised multiple clinical dilemmas and is the first of its kind in trauma patient management of mature cystic teratoma.