Trapped after Coming Buttocks: A Consequence of Sacrococcygeal Teratoma: A Case Report
M. Bukar
Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
S. M. Ibrahim *
Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
C. Ayuba
Department of Obstetrics and Gynaecology, Federal Medical Centre Yola, Nigeria.
H. A. Nggada
Department of Histopathology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Sacrococcygeal teratoma (SCT) is the commonest fetal tumour but a rare cause of obstructed labour. If undiagnosed during antenatal period, high index of suspicion is required during labour to make a diagnosis. In this case report, we present a case of sacrococcygeal teratoma (SCT) which was diagnosed at the time of delivery. The fetus, with a massive ruptured sacrococcygeal mass, was delivered by traction and suprapubic pressure. Histology report revealed malignant sacrococcygeal teratoma. The diagnosis of sacrococcygeal teratoma (SCT) should form part of the differential diagnoses when there is obstructed labour after the delivery of the fetal shoulders so that appropriate management can be instituted.
Keywords: Sacrococcygeal teratoma, primigravida, obstructed labourx, suprapubic pressure, stillbirth, Nigeria