Preoperative selective embolization with vascular coiling of giant sacrococcygeal teratoma

• Published in: Journal of neonatal-perinatal medicine Vol. 12; no. 3; pp. 345 - 349
• Main Authors: Stavropoulou, D, Hentschel, R, Rädecke, J, Kunze, M, Niemeyer, C, Uhl, M, Grohmann, J
• Format: Journal Article
• Language: English
• Published: Netherlands 2019
• Subjects: Angiography; Combined Modality Therapy; Embolization, Therapeutic - methods; Female; Humans; Infant, Newborn; Preoperative Care - methods; Reconstructive Surgical Procedures - methods; Sacrococcygeal Region - blood supply; Sacrococcygeal Region - surgery; Teratoma - blood supply; Teratoma - therapy; Vascular Surgical Procedures - methods; Penumbra occlusion device; iliac artery; coil embolization; sacral artery; neonate; transcarotid access; Sacrococcygeal teratoma
• ISSN: 1934-5798; 1878-4429
• DOI: 10.3233/NPM-180066

Sacrococcygeal teratoma is one of the most common congenital tumors. Its optimal management requires interdisciplinary care by obstetricians, radiologists, pediatric surgeons, and neonatologists. Early surgery entailing complete tumor excision is the main therapy aim, but a substantial risk of life-threatening complications remains, especially uncontrollable intraoperative hemorrhage. To reduce the risk of bleeding in a female neonate with a giant sacrococcygeal teratoma, we successfully coil-embolized the tumor's main feeding arteries. Her subsequent complete surgical resection was uneventful, and the child is well with favorable reconstructive and functional status of all involved and adjacent organ systems.