Fœtal sacrococcygeal teratoma type I: A case report

Haithem Aloui, MD; Eya Azouz, MD; Hatem Frikha, MD; Hammami Rami, MD; Douha Aoun, MD; Neila Ben Aba, MD; Ayeb Saad, MD; Yasmine Houas, MD; Riadh jouini, MD

Radiology Case Reports (Feb 2025)

Fœtal sacrococcygeal teratoma type I: A case report

Haithem Aloui, MD,
Eya Azouz, MD,
Hatem Frikha, MD,
Hammami Rami, MD,
Douha Aoun, MD,
Neila Ben Aba, MD,
Ayeb Saad, MD,
Yasmine Houas, MD,
Riadh jouini, MD

Affiliations

Haithem Aloui, MD: Gynecology and Obstetrics Department C at the Tunis Maternity and Neonatology Center, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia; Corresponding author.
Eya Azouz, MD: Radiology Department La Rabta Hospital of Tunis, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia
Hatem Frikha, MD: Gynecology and Obstetrics Department C at the Tunis Maternity and Neonatology Center, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia
Hammami Rami, MD: Gynecology and Obstetrics Department C at the Tunis Maternity and Neonatology Center, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia
Douha Aoun, MD: Gynecology and Obstetrics Department C at the Tunis Maternity and Neonatology Center, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia
Neila Ben Aba, MD: Neonatology Department at the Tunis Maternity and Neonatology Center, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia
Ayeb Saad, MD: Neonatology Department at the Tunis Maternity and Neonatology Center, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia
Yasmine Houas, MD: Pediatric Surgery Department, Tunis Faculty of Medicine El Manar University, Béchir Hamza Children's Hospital, Tunis, Tunisia
Riadh jouini, MD: Pediatric Surgery Department, Tunis Faculty of Medicine El Manar University, Béchir Hamza Children's Hospital, Tunis, Tunisia

Journal volume & issue: Vol. 20, no. 2
pp. 920 – 923

Abstract

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Sacrococcygeal teratoma (SCT) is a rare congenital tumor typically diagnosed in neonates, with management challenges arising from the size of the tumor and associated delivery complications. In this case, a 32-year-old gravida 5 para 5 woman with a history of three prior cesarean sections was diagnosed with a giant type I SCT at 30 weeks of gestation through prenatal ultrasound, confirmed by fetal MRI. At 34 weeks, an emergency cesarean section was performed due to acute fetal distress, resulting in a newborn with transient respiratory distress. Postnatal imaging classified the tumor as type I SCT, and it was successfully excised on the third day of life without complications. The patient recovered well and was discharged on day fifteen. This case highlights the importance of early prenatal diagnosis, surgical intervention, and multidisciplinary care in managing large SCTs.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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