Abstract
Objectives Sacrococcygeal teratomas are the most frequently diagnosed fetal neoplasms, with premature birth remaining one of the greatest risk factors for poor prognosis. We report an exceptional case of survival to discharge of an extremely premature infant with a large sacrococcygeal teratoma (SCT). Case Presentation An extremely premature infant with a large SCT was delivered via Cesarean section at 27 weeks gestational age (GA) due to preterm labor. At birth, the SCT measured 14.2 × 11.6 × 8.4 cm, and was ruptured with mild hemorrhage that was controlled with topical hemostatic agent and compression. The infant required positive pressure ventilation and intubation at birth due to apnea. She was transferred from the birth hospital to a level IV neonatal intensive care unit for surgical management. She underwent urgent surgery early on second day of life because of worsening heart failure and ongoing hemorrhage from the capsular rupture. The infant survived to discharge on room air without any major complications. Conclusions Despite multiple negative prognostic factors, we report the success and feasibility of SCT management and repair at 27 weeks GA.
Published Version
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