A Rare Case of Congenital Teratoma Arising from Hard Palate in a New Born

A female neonate was born at 39 weeks gestation on 15 Feb, 2012 to a 24 yrs old primigravida. The mother was a booked case but antenataly no congenital abnormality was detected. Polyhydramnios during pregnancy suggested impaired fetal swallowing. Mother was admitted in this hospital at term. Taken foremergency LSCS because of non-progress of labour. The neonate was born by LSCS with a large mass was coming through the mouth and neonate had developed respiratory distress. Neonate was immediately intubated. 

The intubation was difficult and bag and tube ventilation was given. And neonate was immediately transferred to NICU on T-piece ventilation. Examination showed an obstructive polypoid mass that included areas covered in skin and hairs, and cystic, ulcerated lobes.Computed tomography showed a complex mass protruding from the oral cavity. 3D analysis showed arises from the palate. It consisted of cystic, fat, bony, and neural elements, with defined teeth within the bone. Though there was no evidence of intracranial involvement. The tumour was cauterised from its base and deliver the mass excised on 1st day of life. Read more>>>>>>>>>>>>>