Antenatal diagnosis of large sacro-coccygeal teratoma with foetal cardiomegaly and hydrops

Authors

  • N Gupta Assistant Professor, Department of Radiology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • D Shah Associate Professor, Department of Paediatrics, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • U Singh Professor, Departments of Obstetrics & Gynaecology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • A Tiwari Assistant Professor, Department of Radiology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

DOI:

https://doi.org/10.3126/kumj.v6i3.1717

Keywords:

sacro-coccygeal teratoma

Abstract

We report the case of a young primigravida who presented with a 20 weeks pregnancy with a previous diagnosis of uterine fibroid. However, ultrasound evaluation revealed the presence of a large sacro-coccygeal teratoma in the foetus which was heterogeneous with cystic areas and calcific foci, and showed increased vascularity. There was also evidence of foetal cardiomegaly and hydrops foetalis, indicated by subcutaneous oedema in the foetus, thickened placenta and polyhydramnios. The presence of hydrops with sacro-coccygeal teratoma has a grave prognosis for the mother and child; hence termination of pregnancy was done. A 20 weeks old foetus with a huge sacro-coccygeal mass, which was ruptured at many places and showed areas of active bleed, was expelled.

doi: 10.3126/kumj.v6i3.1717

Kathmandu University Medical Journal (2008), Vol. 6, No. 3, Issue 23, 383-385    

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How to Cite

Gupta, N., Shah, D., Singh, U., & Tiwari, A. (2009). Antenatal diagnosis of large sacro-coccygeal teratoma with foetal cardiomegaly and hydrops. Kathmandu University Medical Journal, 6(3), 383–385. https://doi.org/10.3126/kumj.v6i3.1717

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Case Notes