Fœtal sacrococcygeal teratoma type I: A case report

Sacrococcygeal teratoma (SCT) is a rare congenital tumor typically diagnosed in neonates, with management challenges arising from the size of the tumor and associated delivery complications. In this case, a 32-year-old gravida 5 para 5 woman with a history of three prior cesarean sections was diagnosed with a giant type I SCT at 30 weeks of gestation through prenatal ultrasound, confirmed by fetal MRI. At 34 weeks, an emergency cesarean section was performed due to acute fetal distress, resulting in a newborn with transient respiratory distress. Postnatal imaging classified the tumor as type I SCT, and it was successfully excised on the third day of life without complications. The patient recovered well and was discharged on day fifteen. This case highlights the importance of early prenatal diagnosis, surgical intervention, and multidisciplinary care in managing large SCTs.