2021, Number 06
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Ginecol Obstet Mex 2021; 89 (06)
Product retention in birth canal secondary to sacrococcygeal teratoma and cesarean delivery: A case report
López-Del Águila VH, De la Sancha-Mireles JD, Baez-Gutiérrez JG
Language: Spanish
References: 11
Page: 488-796
PDF size: 315.24 Kb.
ABSTRACT
Background: Sacrococcygeal teratoma is a fetal malformation with repercussions
on the route of termination of pregnancy.
Objective: To document the case and describe the maneuvers performed for the
abdominal extraction of a fetus retained in the birth canal due to a giant sacrococcygeal
teratoma.
Clinical case: 23-year-old patient, with a history of 2 previous deliveries who came
to the hospital with a clinically full-term pregnancy and labor in the second stage of
labor. During delivery care there was retention of the fetus under the umbilical scar.
The ultrasound scan showed an image compatible with giant sacrococcygeal teratoma;
therefore it was decided that the birth should be by cesarean section; reintroduction of
the limbs and head was difficult. The evolution of the mother during the postoperative
period was satisfactory and she was discharged from the hospital after 48 hours, without
complications during the puerperium. The newborn was sent to a tertiary hospital for
specialized care, without obstetric trauma.
Conclusion: Sacrococcygeal teratoma has a radical impact on the route of termination
of pregnancy due to the important relationship with dystocia. The knowledge
of specialized maneuvers for the care of dystocic deliveries is decisive in the training
process of the obstetrician-gynecologist because they can be applied and adapted in
the care of complex cases that so require it.
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