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Case Reports
. 2013 Apr;23(2):145-7.
doi: 10.4103/0971-3026.116571.

Giant sacrococcygeal teratoma embolization

Umberto G Rossi  1 , Maurizio Cariati, Paolo Tomà
Affiliations
Case Reports

Giant sacrococcygeal teratoma embolization

Umberto G Rossi et al. Indian J Radiol Imaging. 2013 Apr.

Abstract

Resection of giant sacrococcygeal teratoma with high-vasculature in newborns can be a fatal procedure due to massive bleeding of the tumor. Endovascular embolization of the arteries that supply the tumor may lead to minimal blood loss. We present a case of giant high-vascular sacrococcygeal teratoma type-1 that was embolized in an infant born at 35 weeks gestation. This procedure lead to a safe, surgical resection with minimal bleeding: 12 ml.

Keywords: Angiography; MRI; embolization; newborn; sacrococcygeal teratoma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Sagittal T2-weighted MR image that demonstrates a large mass containing well-defi ned areas of varying signal intensity
Figure 2
Figure 2
Photo of the patient with the giant sacrococcygeal teratoma after birth
Figure 3
Figure 3
Abdominal aorta angiogaphy that confi rms the highly vascular nature of the mass with hypertrophy of the middle sacral artery (arrowhead) and distal vessels from the right internal iliac artery (arrows)
Figure 4
Figure 4
Post-embolization abdominal aorta angiography demonstrates the successful embolization of the feeding vessel of the mass. Note the shadow of the metallic coil deployed into the middle sacral artery (arrowhead)
See this image and copyright information in PMC

References

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