Corporació Sanitària i Universitària Parc Taulí. Sabadell. Barcelona.
Cir Pediatr. 2020 Apr 1;33(2):95-98.
Sacrococcygeal teratoma (SCT) is the most frequent congenital germ cell tumor. Patients have a higher risk of perinatal complications and death, with bleeding and cardiac decompensation being the most common causes of neonatal mortality. This is the case of a 35-week preterm newborn with a large SCT diagnosed at ultrasound screening in the second trimester. Preoperative selective embolization of the middle sacral artery and total surgical resection were performed postnatally with minimal blood loss. The patient was discharged at 25 days of life with a normal physical examination. Selective embolization prior to giant SCT resection is feasible and appears as a safe and useful technique in the control of perioperative bleeding.
骶尾部畸胎瘤（SCT）是最常见的先天性生殖细胞肿瘤。患者围产期并发症和死亡风险较高，新生儿死亡的最常见原因是出血和心脏失代偿。这是一例 35 周早产新生儿，在孕中期超声筛查中诊断出巨大的 SCT。在新生儿期进行了选择性中骶动脉栓塞和完全手术切除，术中出血量很少。患者在出生后 25 天出院，体格检查正常。在巨大 SCT 切除前进行选择性栓塞是可行的，并且作为控制围手术期出血的一种安全有效的技术。
