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Review
. 2020 Apr 1;33(2):95-98.

Preoperative giant sacrococcygeal teratoma embolization in a newborn - A case report and a review

[Article in English, Spanish]
J Guitart  1 , M Teixidor  1 , N Brun  1 , S López  1 , E Criado  1 , N Romero  1
Affiliations
  • PMID: 32250074
Free article
Review

Preoperative giant sacrococcygeal teratoma embolization in a newborn - A case report and a review

[Article in English, Spanish]
J Guitart et al. Cir Pediatr. .
Free article

Abstract
in English, Spanish

Sacrococcygeal teratoma (SCT) is the most frequent congenital germ cell tumor. Patients have a higher risk of perinatal complications and death, with bleeding and cardiac decompensation being the most common causes of neonatal mortality. This is the case of a 35-week preterm newborn with a large SCT diagnosed at ultrasound screening in the second trimester. Preoperative selective embolization of the middle sacral artery and total surgical resection were performed postnatally with minimal blood loss. The patient was discharged at 25 days of life with a normal physical examination. Selective embolization prior to giant SCT resection is feasible and appears as a safe and useful technique in the control of perioperative bleeding.

El teratoma sacrococcígeo (TSC) es el tumor congénito de células germinales más frecuente. Los pacientes afectados tienen un mayor riesgo de complicaciones perinatales y muerte, siendo la hemorragia y la descompensación cardiaca las causas más comunes de mortalidad neonatal. Presentamos el caso de un recién nacido pretérmino de 35 semanas con un TSC de gran tamaño diagnosticado por ecografía en el segundo trimestre. La embolización selectiva preoperatoria de la arteria sacra media y la resección quirúrgica total postnatal se realizaron con una mínima pérdida de sangre. El paciente fue dado de alta a los 25 días de vida con un examen físico normal. La embolización selectiva antes de la cirugía de resección del TSC gigante es factible y aparece como una técnica segura y útil en el control del sangrado perioperatorio.

Keywords: Embolization; Middle sacral artery; Preoperative embolization; Preterm newborn; Sacrococcygeal teratoma.

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