Hepatoduodenal ligament teratoma presenting with fever in a young adult


Ucdal M., Ekingen E.

Journal of Surgical Case Reports, vol.2026, no.1, 2026 (ESCI, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 2026 Issue: 1
  • Publication Date: 2026
  • Doi Number: 10.1093/jscr/rjaf1056
  • Journal Name: Journal of Surgical Case Reports
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Keywords: cholangitis, extragonadal germ cell tumor, fever, hepatoduodenal ligament, teratoma, young adult
  • Hacettepe University Affiliated: Yes

Abstract

Hepatoduodenal ligament teratomas are very rare, and there are fewer than 20 cases reported in the literature. A 22-year-old woman with fever and acute abdominal pain due a mature cystic teratoma in the hepatoduodenal ligament. This occurrence when presented with acute cholangitis was the first case of this rare tumor. Previous cases seen in adults were asymptomatic and were diagnosed incidentally on investigations. The mass was successfully removed operation on this patient without affecting the portal triad structures. This case adds to our knowledge of how these rare tumors may present clinically. It also highlights the relevance of this diagnosis in young adults with acute febrile illness and appropriate imaging characteristics.