Huge sacrococcygeal teratoma in association with massive syringomyelia

We report on a case of simultaneous major pathologies in a male third trimester fetus showing a huge sacrococcygeal teratoma and massive syringomyelia affecting the whole lumbar and thoracic spinal cord. The male patient was delivered by cesarean section after sonography and fetal MRI showed a huge teratoma in the sacrococcygeal area, pronounced scoliosis of the spine, malposition of both legs, and club feet. The tumour was removed almost in total, a connection with the spinal canal was not found. To relieve cervical myelopathy, thought to be caused by increased pressure in the massively dilated central canal, a…