A Case in Which Appropriate Perinatal and Surgical Management of a Sacrococcygeal Tumor Allowed Surgery to be Safely Performed

Abstract

A fetus was suspected of having sacrococcygeal teratoma at 28 weeks of gestation. At 37 weeks, a cesarean section was performed. The infant’s general condition subsequently stabilized; thus, elective surgery was performed on day 7 after birth. Surgery was performed in a supine position. A laparotomy with transverse incision was performed and then the median sacral artery and vein were preemptively ligated. The tumor was dissected from the pelvic cavity as much as possible and then the patient was placed in a jackknife position. The tumor was dissected from the coccyx and removed. No blood was transfused perioperatively. As of 1 year and 6 months postoperatively, the infant is being followed on an outpatient basis. The infant’s clinical course has been satisfactory with no signs of recurrence.