Aloui Haithem, Azouz Eya, Frikha Hatem, Rami Hammami, Aoun Douha, Ben Aba Neila, Saad Ayeb, Houas Yasmine, Jouini Riadh
Gynecology and Obstetrics Department C at the Tunis Maternity and Neonatology Center, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia.
Radiology Department La Rabta Hospital of Tunis, Tunis Faculty of Medicine El Manar University, Tunis, Tunisia.
Radiol Case Rep. 2024 Nov 22;20(2):920-923. doi: 10.1016/j.radcr.2024.10.120. eCollection 2025 Feb.
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.
骶尾部畸胎瘤（SCT）是一种罕见的先天性肿瘤，通常在新生儿期被诊断出来，肿瘤大小及相关分娩并发症带来了管理挑战。在本病例中，一名32岁、孕5产5且有三次剖宫产史的女性，在妊娠30周时通过产前超声诊断为巨大I型SCT，胎儿MRI予以证实。孕34周时，因急性胎儿窘迫行急诊剖宫产，新生儿出现短暂性呼吸窘迫。产后影像学检查将肿瘤分类为I型SCT，患儿在出生第三天成功切除肿瘤，无并发症发生。患者恢复良好，于第15天出院。该病例凸显了早期产前诊断、手术干预及多学科护理在处理大型SCT中的重要性。
