Rupture intra-utérine d'un tératome sacrococcygien : à propos d'un cas

Résumé

Background: Sacrococcygeal teratoma (SCT) is the most common congenital neoplasm. Intrauterine rupture of SCT has rarely been reported. Prenatal ultrasonography and planned delivery can avoid severe complications such as the tumor's rupture and improve perinatal outcome. Case report: We report a case of SCT's rupture during labor. Prenatal sonography was not performed because the mother did not attend antenatal care. An emergency Cesarean section was performed. Hemoglobin concentration was 9 g/dL. Surgical resection of the tumor was performed on the second day of life. A wound infection complicated the postoperative course. Follow-up at one year revealed no evidence of recurrence. Conclusion: The cornerstone in the management of SCTs is prenatal diagnosis. Delay in diagnosis and treatment may lead to rupture, bleeding and infection.