Durán GG, Trelles PL, Rodríguez FAL, Díaz ZN, Alfonso GB

Language: Spanish
References: 10
Page:
PDF size: 489.59 Kb.

ABSTRACT

The management of a twelve-hour-old neonate, female, in which a sacrococcygeal teratoma was diagnosed at the time of delivery, when giant gluteal masses were evidenced, more accentuated on the left side, with loss of continuity and evidence of active bleeding that was not accompanied by other associated alterations. Before the surgical act, he presented coagulation alterations and after this, the flap performed suffered a dehiscence. On the seventh post-operative day, he presented a surgical site infection, with elevated acute phase reactants. Histological study of the tumor revealed a mature teratoma with areas of yolk sac tumor (endodermal sinus tumor). Teratoma is a tumor composed of tissues derived from the 3 germ layers of the embryo (endoderm, mesoderm and ectoderm). It has an incidence of 1 in every 35,000 to 40,000 births and is the most common tumor in newborns, predominantly in females. She was discharged one month after the surgical intervention, with follow-up by pediatric surgery, pediatrics and pediatric oncopaediatrics.

REFERENCES

1. Altman RP, Randolph TG, Lilly JR. Sacrococcygeal teratoma: American Academy of Pediatric Surgical Section Survey 1973.J Pediatric Surg 1974; 9:389-398.

2. Domínguez L, Grijalva M, Remolin A. Teratoma Sacrococcígeo en niños, la experiencia de 11 años en Cartagena de las Indias. Revista Latinoamericana de Neurocirugía/Neurocirugía 2016; 25(2).

3. Estévez Suarez L et al. Teratoma Sacrococcígeo: diagnóstico y seguimiento Prog Osbtet Ginecol. 2007; 50(4):224-30.

4. Hernández H, et al. Caso clínico Teratoma Sacrococcígeo: reporte de un caso y revisión de la bibliografía Ginecol Obstet Mex 2013; 81: 668-673.

5. Madrid-Basurto A, García Cano E, Hernández-Zamora V. Teratoma Gigante Sacrococcígeo: Tratamiento quirúrgico. Presentación de un caso. Cirugía Plástica. 2014; 24(3):153-6.

6. Sarmiento Y, Piloña S, Crespo A, Sánchez I, Portal M, Iglesias D. Teratoma Sacrococcígeo: revisión de la literatura de un caso. Revista Cubana de Pediatría 2010:82(3)69.

7. Silva García, María Carolina; Gálvez Silva Daniela. Teratoma Sacrococcígeo: diagnostico, evolución y terapia prenatal. Rev. Pediatr. Electrón; 2015 12(3):24-32

8. Sun DJ, Lee JN, Long CY, Tsai EM. Early diagnosis of fetal sacrococcygeal teratoma: a case report. Kaohsiung J Med Sci. 2003; 19(6):313-316.

9. Swamy R, Embleton N, Hale J. Sacrococcygeal teratoma over two decades: birth prevalence, prenatal diagnosis and clinical outcomes. Prenat Diagn. 2008; 28(11):1048-1051.

10. Pauniaho SL, Heikinheimo O, Vettenranta K, et al. High prevalence of sacrococcygeal teratoma in Finland a nationwide population-based study. Pediatr. 2013; 102(6): e251-256.