1 kg monster tumor in the stomach of a newborn boy

The medical history revealed that the baby was born naturally, weighed 3.4 kg at birth, and had abdominal distension after birth. The baby was hospitalized because of severe vomiting, especially 3 days before admission. Previously, the baby's mother did not have regular prenatal check-ups at medical facilities and only went to private clinics in the last months of pregnancy.

At the Neonatal Department of Children's Hospital 2, the baby vomited more milk, his face was pale due to dehydration and his abdomen was very distended. After being examined by doctors and suspected of having a tumor in the epigastric region, the baby was ordered to have an abdominal ultrasound.

On September 11, Dr. Pham Ngoc Thach, Deputy Director of Children's Hospital 2, said that the results showed that the patient's abdomen contained a giant mixed mass with heterogeneous fluid inside. The abdominal X-ray showed calcifications in the tumor area. It was determined that this was probably the main cause of the obstruction and gastrointestinal symptoms. After consultation, doctors from the Department of Neonatology and General Surgery indicated surgery for the patient.

The baby was resuscitated with electrolyte replacement fluids to compensate for the amount of water lost due to vomiting and then had surgery performed by doctors.

The tumor after being surgically removed from the boy's stomach.

During surgery, a large tumor was found occupying almost the entire abdomen of a newborn baby, measuring 12x6 cm. The tumor was attached to the stomach and partially inside the stomach.

The doctors removed part of the stomach containing the tumor and peeled the entire tumor out of the baby's body. The tumor weighed about 1 kg. After removing the tumor, the doctors stitched up the baby's stomach and closed the abdominal cavity.

Now the baby's health is gradually improving, the surgical wound is clean, the belly is flat, and he is breastfeeding well.

Gastric teratoma in children is extremely rare.

According to Dr. Pham Ngoc Thach, Deputy Director of Children's Hospital 2, gastric teratoma in children is extremely rare, especially in newborns. In children, teratoma is most common in the sacral region of the spine (40%), followed by the ovaries (25%) and testicles (12%), the brain (5%), and the digestive tract, especially the stomach, is the least common. According to medical literature, there have been less than 100 cases of gastric teratoma recorded in the world so far. Currently, in Vietnam, medical literature has not recorded any cases of gastric teratoma in newborns.

The tumor is usually benign, but can cause gastric obstruction, anemia, and gastric rupture. The disease is often manifested by abdominal distension, palpable abdominal mass, vomiting, anemia, and respiratory failure. The disease can be detected early if the pregnancy is fully monitored or if a general examination and screening for birth defects are performed.

"Early detection, especially prenatal diagnosis, will help us be proactive in pre-operative preparation, avoiding the baby from being in a state of vomiting, dehydration, and infection, making the surgery more difficult, especially the post-operative recovery process. Therefore, prenatal examination is very important," Dr. Thach shared.

Source: https://thanhnien.vn/khoi-u-quai-nang-1-kg-trong-da-day-be-trai-so-sinh-185240911155623137.htm