Sacrococcygeal teratoma: case report

Medwave. 2015 May 12;15(4):e6137. doi: 10.5867/medwave.2015.04.6137.
[Article in English, Spanish]

Abstract

We present a male newborn child with a sacrococcygeal mass who was sent to clinic 46 of the Mexican Social Security Institute located in Gomez Palacio, Durango, Mexico for pediatric/neonatal surgical resolution. The mass was detected on gestation week 24 in the sacrococcygeal area and was initially interpreted as a myelomeningocele. On gestation week 32, the mass had grown, so the diagnosis of cystic hygroma was posed. The child was born at 38 weeks of gestational age with a large tumor in the sacrococcygeal area. Images were obtained, and tumor resection was performed without complications. Pathologic examination confirmed the diagnosis of sacrococcygeal teratoma. The postoperative course was uneventful and there were no further complications.

Se presenta el caso de un recién nacido del género masculino que es enviado a la clínica 46 del Instituto Mexicano del Seguro Social de Gómez Palacio, Durango, México para manejo por cirugía pediátrica y neonatología, por la presencia de una masa en región sacrococígea que fue detectada en la semana 24 de gestación como probable mielomeningocele. A las 32 semanas de gestación se observó un mayor crecimiento y se sospechó de un higroma quístico. Se programa cesárea a las 38 semanas de gestación y, después de exámenes imagenológicos, se realiza resección del tumor sin complicaciones. El estudio anatomopatológico confirmó el diagnóstico de teratoma sacrococcígeo. La evolución posoperatoria inmediata y su condición en la actualidad, son satisfactorias.

Keywords: newborn infant; sacrococcygeal region; teratoma.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Fetal Diseases / diagnosis*
  • Fetal Diseases / pathology
  • Fetal Diseases / surgery
  • Humans
  • Infant, Newborn
  • Male
  • Mexico
  • Pregnancy
  • Prenatal Diagnosis*
  • Sacrococcygeal Region
  • Teratoma / congenital
  • Teratoma / diagnosis*
  • Teratoma / surgery