Fatal Rupture of a Sacrococcygeal Teratoma During Delivery

Management and outcome in prenatally diagnosed sacrococcygeal teratomas

“…The International Fetal Medical and Surgical Society reported that 22 of 42 fetuses (52%) with SCT died in utero or at birth 6 . Fetal or early postnatal death from SCT is most often due to fetal hydrops, 12–14 and difficulties with either local resection or hemorrhage secondary to tumor vascularity in the postnatal period 16,17 18 .…”

“…Dystocia may occur and can result in traumatic tumor rupture 17 and hemorrhage 16 during labor or delivery. Prenatal diagnosis plays its greatest role in the prevention of dystocia via planned, usually cesarean delivery for large tumors.…”

The laparoscopic approach to sacrococcygeal teratomas

“…Children with large, mainly solid SCT are often born with impending heart failure and marginal coagulation equilibrium due to high vascularity of the tumor. Tumor rupture leading to fatal bleeding during delivery, even during cesarean section, has been reported [10,17]. When the tumor is approached via a posterior sacrococcygeal incision without prior ligation of the median sacral artery, death may occur due to massive bleeding and cardiac failure [5,15,19].…”

Fetal Sakrokoksigeal Teratom-Prenatal Tanı ve Yönetim Olgu Sunumu

“…Bununla birlikte sezaryen doğumda bile zorlukla karşılaşılabileceği unutulmamalıdır. Büyük bir teratom nedeniyle yapılacak geniş bir histerotominin morbiditeyi arttıracağı bir gerçektir (11). Bizim hastamızda da aşırı derecede hacim meydana getirmiş sakrokoksigeal tü-möre bağlı distosi gelişme ihtimali çok yüksek olduğu için sezaryen doğum tercih edilmiş, teratomun rüptürünü önlemek için de klasik uterin insizyon seçilmiştir.…”