Asymptomatic adult type IV sacrococcygeal teratoma: incidental diagnosis in a case of subfertility

Shraddha Daksha; Shakti Bhan Khanna; Kiranabala Dash; Shuaib Zaidi; Vikas Kashyap

doi:10.18203/2320-1770.ijrcog20243219

Authors

Shraddha Daksha Department of Obstetrics and Gynaecology, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India
Shakti Bhan Khanna Department of Obstetrics and Gynaecology, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India
Kiranabala Dash Department of Obstetrics and Gynaecology, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India
Shuaib Zaidi Department of Obstetrics and Gynaecology, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India
Vikas Kashyap Department of Obstetrics and Gynaecology, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243219

Keywords:

Sacrococcygeal teratoma (SCT), Magnetic resonance imaging (MRI), Pouch of douglas (POD)

Abstract

Sacrococcygeal teratomas (SCT) are rare congenital tumours that are even more uncommon when present in adulthood. They are derived from residual stem cells in the presacral space that differentiate into clusters of somatic cells. We present a case of asymptomatic sacrococcygeal teratoma (SCT) in 28 years old female, presented for subfertility workup and diagnosed incidentally while investigating for it. Preoperative diagnosis was complex cystic lesion involving presacral space with possibility of dermoid, epidermal, or cystic presacral hamartoma. The mass was completely excised through abdomen and sacral approach. Histopathology confirmed it to be sacrococcygeal teratoma. Although rare, saccrococcygeal teratoma (SCT) should be considered in differential diagnosis of presacral masses in adult female. Complete surgical excision remains the cornerstone of treatment with the involvement of multidisciplinary approach.

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References

Kumar N, Khosla D, Kumar R, Saikia UN, Singh S. Sacro-coccygeal teratoma in adult: two rare case reports and review of literature. Int J Appl Basic Med Res. 2014;4:122–4.

Luk SY, Tsang YP, Chan TS, Lee TF, Leung KC. Sacrococcygeal teratoma in adults: case report and literature review. Hong Kong Med J. 2011;17:417–20.

Yoon HM, Byeon SJ, Hwang JY, Kim JR, Jung AY, Lee JS, et al. Sacrococcygeal teratomas in newborns: a comprehensive review for the radiologists. Acta Radiol. 2018;59:236–46.

Al-Essa AA, Malik TA, Baghdadi MK, El Tayeb AA. Adult sacrococcygeal teratomas. Saudi Med J. 2004;25:367-9.

Kaneyama K, Yamataka A, Kobayashi H. Giant, highly vascular sacrococcygeal teratoma: report of its excision using the ligasure vessel sealing system. J Pediatr Surg. 2004;39:1791-3.

Kumar R. Adult sacro-coccygeal teratoma: a brief review. J Nucl Med Radiat Ther. 2020;7(1):67394.

Mourad AP, De Robles MS, O'Toole S, Paver E, Winn RD. A case of an asymptomatic sacrococcygeal teratoma diagnosed in adulthood. J Surg Case Reports. 2020;2020(11):462.

Woodward PJ, Sohaey R, Kennedy A, Koeller KK. From the archives of the AFIP. A comprehensive review of fetal tumors with pathologic correlation. Radiographics. 2005;25:215-42.

Mistri PK, Patua B, Alam H, Ray S, Bhattacharyya SK. Large sacrococcygeal teratoma hindering vaginal delivery attempted at home. Rev Obstet Gynecol. 2012; 5:65–8.

Simpson PJ, Wise KB, Merchea A, Cheville JC, Moir C, Larson DW, et al. Surgical outcomes in adults with benign and malignant sacrococcygeal teratoma: a single-institution experience of 26 cases. Dis Colon Rectum. 2014;57:851–7.

Dwarkasing RS, Verschuuren SI, Leenders GJLH, Braun LMM, Krestin GP, Schouten WR. Primary cystic lesions of the retrorectal space: MRI evaluation and clinical assessment. Am J Roentgenol 2017;209:790–6.

Mindaye ET, Kassahun M, Prager S, Tufa TH. Adult case of giant sacrococcygeal teratoma: case report. BMC Surgery. 2020;20(1):295.