Techniques available for the management of massive sacrococcygeal teratomas.

Abstract:

:An infant born in the 34th week of gestation weighing 5,355 g with a massive sacrococcygeal (SC) tumor was delivered by elective cesarean section. An ultrasonographic examination showed solid and cystic components in the tumor. Resection was successfully undertaken with insertion of a Nélaton catheter into the rectum to avoid unnecessary impairment of the viscera. The tumor weighed 2,380 g, measured 25 x 14 x 11 cm, and was clinicopathologically diagnosed to be a SC teratoma. This experience and other publications show that several considerations including control of hemorrhage and coagulopathies, visceral protection, and avoidance of wound infection are necessary to facilitate the surgical management of massive SC tumors. Several suggestions are made concerning the pre- and intraoperative management of this rare tumor.

journal_name

Pediatr Surg Int

authors

Hase T,Kodama M,Kishida A,Shimadera S,Aotani H,Shimada M,Yamamoto Y,Noda Y,Okabe H

doi

10.1007/s003830000451

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

232-4

issue

2-3

eissn

0179-0358

issn

1437-9813

journal_volume

17

pub_type

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