Tandin Om, Chimi Lhaky Zam, Karma Sherub, Phurb Dorji
Sacrococcygeal teratoma (SCT) is a rare congenital tumor arising from pluripotent cells at the base of the coccyx and is most often detected during antenatal imaging. In this case, a massive SCT was identified at 26 + 2 weeks during routine ultrasound. The pregnancy was closely monitored with serial scans; however, the mother went into spontaneous preterm labor at 33 weeks and underwent emergency cesarean section. The neonate had an Altman Type I SCT, which was surgically excised on the fourth day of life, and histopathology confirmed a mature cystic teratoma. Postoperative wound infection was managed conservatively with antibiotics, resulting in good clinical outcomes over a 4-month and 10 month follow-up period. This case highlights the importance of early antenatal detection, timely surgical intervention, and coordinated multidisciplinary care in achieving favorable outcomes for congenital SCT, even in resource-limited settings.