Management of fetal sacroccocygeal teratoma

With the advent of antenatal ultrasound, the focus on sacroccocygeal teratoma has shifted from management at birth to management in the antenatal period. Multidisciplinary approach involving the obstetrician, neonatologist and paediatric surgeon is necessary to achieve good results. Two cases of antenatally detected sacrococcygeal teratomas are reported, one at 24 weeks and the other at 26 weeks of gestation. The tumour was benign in both cases and in both cases, delivery was done at full term. In one case, it was a normal vaginal delivery and in the other, an elective lower segment caesarean section was performed. Close ultrasound follow-up during pregnancy had excluded cardiac failure, hydropic changes and other congenital anomalies which could have altered the management of the pregnancy. Accurate diagnosis of such tumours during antenatal periods may in future allow intrauterine fetal interventional surgery for a premature fetus. The tumour was surgically dealt with successfully in each case on the third day after birth with good clinical results at the end of one year and eight months respectively.