The first intravital case of diagnosis and treatment of a giant teratoma of the sacrococcygeal area, which exceeded the body weight of a newborn on 1.5 times

Authors

  • O.K. Sliepov Center for neonatal surgery for malformations and their rehabilitation of SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine https://orcid.org/0000-0003-0271-2936
  • O.V. Perederii SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine https://orcid.org/0009-0001-7531-8537
  • N.Y. Skrypchenko SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine https://orcid.org/0000-0003-2849-8499
  • V.V. Kotsovsky SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine
  • O.P. Hladyshko SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine
  • G.O. Grebinichenko SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine https://orcid.org/0000-0003-4391-6724

DOI:

https://doi.org/10.15574/PS.2023.80.92

Keywords:

giant sacrococcygeal teratoma, perinatal diagnosis, fetus, newborn child, hypoxic-ischemic damage of internal organs

Abstract

Purpose - is to analyze and present the experience of perinatal diagnosis and treatment of giant terato-dermoid tumor (TDT) of the sacrococcygeal area, which exceeded the body weight of a newborn on 1.5 times.

Clinical case. The article presents a unique clinical case of a giant teratoma of the sacrococcygeal area (SCT), which exceeded the weight of a newborn child on 1.5 times. Features of perinatal support, hypoxic-ischemic damage of internal organs, and surgical intervention for giant SCT in a premature low-weight newborn child are described, which are important elements of optimizing the treatment of children with this life-threatening pathology.

Conclusions. Diagnosis and treatment of giant SCT in fetuses and newborns require scientifically based perinatal support, which includes early (up to 22 weeks of gestation) prenatal diagnosis, rational pregnancy management tactics, fetal examination, delivery by caesarean section, postnatal diagnosis and early (within 1 days) emergency radical tumor removal.

The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting studies.

No conflict of interests was declared by the authors.

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Published

2023-09-28

Issue

No. 3(80) (2023): Paediatric surgery (Ukraine)

Section

Clinical case

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