Sacrococcygeal teratoma associated with complex gastroschisis with favorable outcome. A case report.

J Salsamendi, M Ormaechea, L Díaz, G Giannini
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Abstract

Introduction: We present the case of a newborn with sacrococcygeal teratoma and complex gastroschisis, complicated with intestinal perforation. This is an unusual association, with only 1 reported case worldwide, and this is the first reported case that survived with a good outcome.

Clinical case: The treatment was conducted in 4 stages: gastroschisis closure and enterostomy delaying the treatment of the atresia, teratoma resection, correction of the atresia using the Santulli technique and closure of the stoma. It took 6 months and 18 days to complete the whole treatment. The patient showed excellent progress with good growth and subsequent development.

Discussion: The treatment conducted in 4 stages made possible the resolution of each pathology, with proper assessment and surgical planning, making possible the patient's development and growth while minimizing the risks of complications.

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骶尾骨畸胎瘤合并复杂胃裂,预后良好。一份病例报告。
我们报告一例新生儿骶尾骨畸胎瘤合并复杂胃裂,并发肠穿孔。这是一种不寻常的关联,全世界仅有1例报告病例,这是第一例报告的预后良好的存活病例。临床病例:分胃裂闭合和肠造口术4个阶段进行治疗:延迟闭锁治疗、畸胎瘤切除、Santulli技术矫正闭锁、闭合造口。整个治疗过程耗时6个月18天。患者进展良好,生长发育良好。讨论:分4个阶段进行治疗,使每个病理得以解决,适当的评估和手术计划,使患者的发育和生长成为可能,同时最大限度地减少并发症的风险。
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A controversial fetal surgery in the general press. Beyond surgery: Quality of life in survivors of sacrococcygeal teratoma. Challenging anatomy: situs inversus, duodenal web, and intestinal malrotation in a neonate. Knowledge and level of implementation of "Do Not Do" recommendations in Spanish pediatric surgery departments. Sacrococcygeal teratoma associated with complex gastroschisis with favorable outcome. A case report.
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