Publication: Antenatal diagnosis of large sacro-coccygeal teratoma with foetal cardiomegaly and hydrops
Date
2008
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
We report the case of a young primigravida who presented with a 20 weeks pregnancy with a previous diagnosis of
uterine broid. However, ultrasound evaluation revealed the presence of a large sacro-coccygeal teratoma in the foetus
which was heterogeneous with cystic areas and calci c foci, and showed increased vascularity. There was also evidence
of foetal cardiomegaly and hydrops foetalis, indicated by subcutaneous oedema in the foetus, thickened placenta and
polyhydramnios. The presence of hydrops with sacro-coccygeal teratoma has a grave prognosis for the mother and child;
hence termination of pregnancy was done. A 20 weeks old foetus with a huge sacro-coccygeal mass, which was ruptured
at many places and showed areas of active bleed, was expelled.
Description
Gupta N 1, Shah D 2, Singh U 3 , Tiwari A1
1Assistant Professor, Departments of Radiology, 2 Associate Professor, Departments of Paediatrics, 3 Professor, Departments of Obstetrics & Gynaecology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal