%0 Case Reports %T Unilateral Periorbital Swelling in a Pediatric Patient. %A Rosas Herrera A %A Parker AB %A Chaskes M %A Askin F %A Monk AS %A Stephens JR %A Thorp BD %A Ebert CS %A Senior BA %A Kimple AJ %A Kong KA %J Clin Med Insights Case Rep %V 17 %N 0 %D 2024 %M 38827640 暂无%R 10.1177/11795476241255563 %X Infratemporal fossa (ITF) tumors are rare in children and may present with a variety of symptoms. Teratomas are neoplasms derived from the 3 germ layers and approximately 6% to 10% are within the head and neck. Our study discusses one of the first reported cases of teratoma in the ITF in a pediatric patient. A 3-year-old girl presents with 2 years of recurrent monthly left periorbital swelling accompanied by fevers, skin discoloration, and pain. Prior episodes were treated with antibiotics with incomplete resolution. Imaging revealed a cystic lesion centered in the ITF. She was taken for endoscopic endonasal biopsy of the lesion and had no complications. Pathology revealed a mature teratoma composed primarily of pancreatic tissue. Providers should consider masses such as teratoma in the differential for ITF tumors and periorbital edema unresponsive to typical treatment.