Abstract

Sacrococcygeal teratoma (SCT) is the commonest fetal tumor. We report a case of fetal SCT requiring emergency hysterotomy at 21+4 weeks of gestation. A 22 years primigravida, with prior uneventful antenatal care, presented at 21+4 weeks of gestation with on and off pain abdomen and back for 3 days associated with passage of show for 1 day. Vital signs were stable and her abdomen was tense and tender with fundal height of 30 weeks. She was in early labor. Urgent USG revealed a live intrauterine fetus with features suggestive of huge fetal SCT for which she underwent emergency hysterotomy.

References

1. Wolf RB. “Skeletal imaging”. In: Creasy RK, Resnik R, Iams JD, Lockwood CJ, Moore T, Greene MF, editors. Creasy and Resnik’s Maternal-Fetal Medicine Principles and Practice. 7^th Philadelphia: Elsevier Saunders (2014): 370.
2. Shannon SA and Henningsen C. “Sacrococcygeal teratoma”. IOSR Journal of Dental and Medical Sciences 20 (2004): 351-354.
3. Nyberg DA and Mack LA. “The spine and neural tube defects”. In: Ryan JD, editor. Diagnostic Ultrasound of Fetal Anomalies: Text and Atlas. St Louis: Mosby (1990): 146-202.
4. Ayed A., et al. “A review of pregnancies complicated by congenital sacrococcygeal teratoma in the West Midlands region over an 18-year period: population-based, cohort study”. Prenatal Diagnosis 11 (2015): 1037-1047.
5. Kuhlmann RS., et al. “Fetal sacrococcygeal teratoma”. Fetal Therapy 2 (1987): 95-100.
6. Mancuso M and Biggio J. “Fetal tumors”. In: James D, Steer PJ, Weiner CP, Gonik B, Crowther CA, Robson SC, editors. High risk pregnancy management options. 4^th Missouri: Elsevier Saunders (2011): 398-401.
7. Swayze CF and Wheeler TC. “Sacrococcygeal teratoma” (2018).
8. Gucciardo L., et al. “Prenatal assessment and management of sacrococcygeal teratoma”. Prenatal Diagnosis 7 (2011): 678-688.

Citation

Citation: Amrit Pokharel and Geeta Gurung. “Fetal Sacrococcygeal Teratoma Requiring Emergency Hysterotomy in Second Trimester”. Acta Scientific Women's Health 2.8 (2020): 19-22.

Copyright

Copyright: © 2020 Amrit Pokharel and Geeta Gurung. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.