Abstract
Introduction: Sacrococcygeal Teratomas (SCTs) are rare childhood tumors, commonly seen in the neonatal period. The mainstay of their diagnosis is both clinical and radiological. Early gross-total surgical excision has the best prognostic outcome, especially for benign tumors. Case report: We present the case of a 12-year old girl with recurrent infected right gluteal benign SCT who was successfully managed in a secondary-level health facility in Nigeria. She has remained symptom-free with no recurrence four years post-surgery. We also reviewed the medical literature on SCT in Nigeria. Discussion: Our case report and others from Nigeria are consistent with the global trend on SCTs. They mostly occur within the first 15 years of life, with a bimodal peak in the first 4 years and at 8-11 years. 75-90% are benign, and the tumors often contain tissues from the three germ layers. Complete surgical excision is the treatment of choice. Conclusion: SCTs are rare tumors, but require early diagnosis and complete surgical excision to prevent malignant transformation. The case report draws attention to the need for a multi-institutional tumor registry in Nigeria and other sub-Saharan African countries. Keywords: sacrococcygeal teratoma; surgical excision; nigeria; literature review.
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