Journal of the Bahrain Medical Society
Year 2022, Volume 34, Issue 2, Pages 57-61
https://doi.org/10.26715/jbms.34_2022_2_9Laxmi Saha1,*, Ola Haidar Wahbi2 , Evelio Alberto Ramos3 , Yasmin Abozenah4 , Maha Ghorabah5 , Martin Corbally6
1 Senior Registrar, Department of Obstetrics and Gynecology, King Hamad University Hospital, Busaiteen, Muharraq, Kingdom of Bahrain 24343; Email: laxmifeni@gmail.com
2 Senior House officer, Department of Obstetrics and Gynecology, King Hamad University Hospital, Busaiteen, Muharraq, Kingdom of Bahrain 24343; Email: ola.wahbi@khuh.org.bh
3 Obstetric Radiology Technician, Department of Obstetrics and Gynecology, King Hamad University Hospital, Busaiteen, Muharraq, Kingdom of Bahrain 24343; Email: evelio.ramos@khuh.org.bh
4 RCSI Medical University of Bahrain, 4th year medical Student, RCSI Bahrain, P.O. Box 15503, Adliya, Kingdom of Bahrain; Email: 18207723@rcsi-mub.com
5 Consultant Obstetrics & Gynecology & Training Program Director, Department of Obstetrics and Gynecology, King Hamad University Hospital, Busaiteen, Muharraq, Kingdom of Bahrain 24343; Email: maha.ghorabah@khuh.org.bh
6 Chief of Medical Staff & Consultant Paediatric Surgeon, Department of Surgery, King Hamad University Hospital, Busaiteen, Muharaq, Kingdom of Bahrain 24343; Email: martin.corbally@khuh.org.bh Professor and Head of Department of Surgery, RCSI Medical University of Bahrain, P.O. Box 15503, Adliya, Kingdom of Bahrain
*Corresponding author:
Dr Laxmi Saha, Senior Registrar, Department of Obstetrics and Gynecology, King Hamad University Hospital Busaiteen, Musarraq, Kingdom of Bahrain 24343; Email: laxmifeni@gmail.com
Received date: July 29, 2021; Accepted date: January 24, 2022; Published date: June 30, 2022
Abstract
Sacrococcygeal teratoma (SCT) is the most commonly diagnosed congenital tumor during the neonatal period. The outcome of SCT is dependent on the growth rate, the presence of solid components in cancer, and the presence or absence of high flow cardiac involvement of the fetus. This case report presents the management and outcome of a pregnant woman carrying a fetus with a rapidly growing SCT. Confirmation of diagnosis was based on the universal prenatal ultrasound examination standards. Eventually, the patient delivered a girl weighing 2.9 kg, including the neoplasm, by a planned Cesarean section. The newborn received one dose of surfactant and underwent complete resection of the teratoma on the second day with a favorable outcome. This case report aims to show that rapidly growing SCT requires frequent antenatal follow-up with serial prenatal ultrasound examinations, optimum timing, mode, and appropriate place of delivery for a better fetal outcome.
Keywords: Prenatal diagnosis, Preterm delivery, Rapidly growing neoplasm, Sacrococcygeal teratoma, Surgical resection of teratoma
Tables and Figures can be referred to in the PDF.