Obstetrics and Gynecology I - HASSAN II University Hospital – Fez- Morocco
Sacrococcygeal teratoma a common and benign fetal tumor. Yet, fetuses with sacrococcygeal tumors that are predominantly solid and highly vascularized have a high risk of hydrops and tumor hemorrhage, associated with a higher risk of fetal death. They develop at the expense of totipotent embryonic cells in the sacrococcygeal region and are usually benign during the antenatal period. However, their removal must be performed during the first year of life to avoid degeneration. The hyper vascularized forms are the most serious and may benefit in some cases from in utero surgical or endoscopic management. The management of delivery depends on associated anomalies, tumor vascularity and size.