A CHALLENGING PRENATAL CASE
UNRAVELING THE RARE AND LETHAL SACROCOCCYGEAL TERATOMA
Keywords:
SACROCOCCYGEAL TERATOMA, GERM CELL NEOPLASM, NEURAL TUBE DEFECTS, HIGH RISK PRENATAL CARE, FETAL MALFORMATIONAbstract
This is a case report referring to prenatal care and follow-up in the third trimester of pregnancy, which was referred to confirm the initial diagnostic hypothesis of Myelomeningocele. After morphological ultrasound an even rarer and lethal pathology was diagnosed: Sacrococcygeal Teratoma (SCT). Sacrococcygeal teratoma is a germ cell tumor, and such fetal neoplasia is associated with complications such as prematurity, hydrops and fetal death, and may also lead to maternal complications such as maternal mirror syndrome, where the mother presents the same fetal complications such as generalized edema and pleural effusion. The case in question evolved with a favorable outcome for the pregnant woman and an unfavorable one for the fetus, culminating in death, even with the neonatal ICU apparatus, thus reinforcing the severity of the malformation.
