2006-07-31-15 Sacrococcygeal teratoma, type II © Grochal www.thefetus.net/
Sacrococcygeal teratoma, type II
Obstetrical and gynecological department of the Central Military Hospital in Ruzomberok, Slovak Republic
These are several pictures of sacrococcygeal teratoma type II (according to The American Academy of Pediatric Surgery), with dominant solid external and mixed (solid and cystic) internal parts at 21 weeks. We could also recognize signs of cardiac failure like cardiomegaly, mild ascites, and placental edema.
The pregnancy was terminated by a cesarean section due to HELLP syndrome. This complication is in concordance with some previous studies which reported 81% of associated obstetrical complications in cases of sacrococcygeal teratoma, such as polyhydramnios, oligohydramnios, preterm labor, preeclampsia, gestational diabetes, HELLP syndrome, and hyperemesis (1). The baby weighed 1300g at 23 weeks and the placenta also weighed 1300g. Autopsy showed only a bilateral pyelectasia and fetal hydrops without other associated anomalies.
1. HEDRICK H.L., FLAKE A.W., CROMBLEHOLME T.M., HOWELL L.J., JOHNSON M.P., WILSON R.D., ADZICK N.S. Sacrococcygeal teratoma: prenatal assessment, fetal intervention, and outcome. Journal of Pediatrick Surgery, Volume 39, Issue 3, Pages 430-438