Sacrococcygeal teratoma of the ultrasound diagnosis to the intrauterine therapy

Abstract

Purpose: describe the prenatal diagnosis by ultrasound and attempt to intrauterine treatment of fetal sacrococcygeal teratoma. Case description: G1P0A0, 31 years, married, previously healthy, forwarded with a gestational age of 17 weeks to Fetal Medicine Service of the University Hospital of Santa Maria due to the diagnosis of tumors in the fetal sacral region. Obstetric ultrasound allowed the diagnosis of fetal sacrococcygeal teratoma with small internal component. This showed an increase of volume to each weekly revaluation and opted for laser therapy with 19 weeks and 3 days of gestation, however procedure did not achieve the desired success. At 22 weeks, the patient presented premature rupture of membranes, evolving to childbirth and female fetus died weighing 1050g. Conclusions: the constant review of literature about fetal sacrococcygeal teratoma is valid because it is a high mortality disease, highlighting the importance of early diagnosis is vital to the management of the presentment and for family counseling.