Diagnosis of Congenital Oral Teratoma at Prenatal Period: A Case Report

Section: Case Report
Published
Dec 29, 2025
Pages
262-266

Abstract

Background: In spite of the fact that the oral congenital teratomas are rare, they may be identified throughout the ultrasonic examination. The radiologists must be oriented to identify the imaging characteristics to facilitate the best prognosis. Generally, these anomalies are benign, however, breathing difficulties are encountered, causing fetal distress and poor progress of labor beside the difficult feeding postnatally.


Aim: To make an insight into the rare cases of oral congenital teratomas.


Methods: In this case report, a cystic mass was nominated incidentally by two-dimensional transabdominal ultrasonic examination in the oral cavity of a second-trimester fetus in a 30-year-old patient. Upon arrival to the hospital, a sonographic detection was accomplished via a Samsung HS40 convex prob with 2-8 megahertz.


Results: Sonography showed a 24 weeks + gestation fetus with 11.5 x 6 x 6.7 cm  complex cystic mass (volume was equal to 257 ml ) protruded from  the fetal oral cavity (Figures 1,2, and 3) with otherwise normal anatomy. In addition, the amniotic fluid index was  over 25 cm with deepest pocket of amniotic fluid  was 7 cm which indicates the polyhydramnios.


Conclusion: The radiologists must be oriented to identify the imaging characteristics to facilitate the best prognosis. In fact, the professionality of the radiologist to detect these teratomas and their physiological complication precisely could substantially contribute on the improvement of the perinatal treatment.

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1.
Al-Falaki DAN, Al Allaf LI. Diagnosis of Congenital Oral Teratoma at Prenatal Period: A Case Report. Ann. coll. Med. Mosul [Internet]. 2025 Dec. 29 [cited 2026 Jan. 2];47(2):262-6. Available from: https://mmed.uomosul.edu.iq/index.php/mmed/article/view/60231