Sacrococcygeal teratoma

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Huge swelling f the lower lumbar and pelvic regions.

Patient Data

Age: 4 weeks
Gender: Female
X-ray

Large soft tissue swelling seen in the pelvic region

CT

Large soft tissue mass is seen. It is appearance is cystic. No apparent anomalus vertebrae.

A catheter is seen within the rectum for preoperative planning.

MRI

The large mass appears cystic being low signal on T1 and high on T2.  No evidence of spinal dysraphism.

Photo

Groups of photos that explain the appearance before, during and immediately after surgery.

Case Discussion

Huge soft tissue swelling is seen in the lower lumbar and pelvic regions. Sacrococygeal teratoma is the most common in the fetus and neonate. The aim from our cross sectional studies to assess the relation of the mass to the recum and urinary bladder and to exclude any associated dysraphic anomalies. Teratoma is a composite tumor has ectoderm, endoderm and mesoderm.

Thanks to Dr. Mehat Al sayed, prof of pedia Surgery for the intraoperative and gross photo.

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Case information

rID: 26724
Case created: 4th Jan 2014
Last edited: 11th Mar 2016
Tag: spine
Inclusion in quiz mode: Included

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