Successful Laparoscopic-Assisted Management of a Rare Purely Cystic Type IV Sacrococcygeal Teratoma in Neonate: A case report

Authors

• Alghalya Khalid Almaawali, Department of General Surgery, Sultan Qaboos University, Muscat, OmanFollow
• Ahmed Alwahaibi, Department of Surgery, Oman Medical Specialty Board, Muscat, Oman
• Yousuf Al-Shaqsi, Department of Surgery, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman
• Farman Laghari, Department of Surgery, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman
• Bashar Dawud, Department of Surgery, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman
• Marwa Al-Riyami, Department of Pathology, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman AND Department of Pathology, Sultan Qaboos University, Muscat, Oman

Abstract

Type IV sacrococcygeal teratomas (SCTs) are the rarest subtype of SCTs. We report a 2-week-old female who presented to a tertiary care centre in Muscat, Oman, in 2024 with abdominal distension and feeding intolerance. Imaging revealed a purely cystic presacral lesion, managed with successful laparoscopic-assisted cyst excision and coccygectomy. Histopathology confirmed a mature cystic SCT and the patient was diagnosed with a purely cystic Altman type IV SCT. The postoperative course was uneventful apart from minor wound dehiscence, which resolved with conservative management. Follow-up showed complete wound healing and no recurrence. Purely cystic Type IV SCTs are extremely rare and challenging to diagnose due to their benign radiological appearance and lack of external manifestations. Complete surgical excision with coccygectomy remains the cornerstone of treatment; laparoscopic-assisted excision in neonates is feasible and safe.

Article Type

Case Report

Publication Date

5-25-2026

First Page

376

Last Page

381

Creative Commons License

This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.

Recommended Citation

Almaawali, Alghalya Khalid; Alwahaibi, Ahmed; Al-Shaqsi, Yousuf; Laghari, Farman; Dawud, Bashar; and Al-Riyami, Marwa (2026) "Successful Laparoscopic-Assisted Management of a Rare Purely Cystic Type IV Sacrococcygeal Teratoma in Neonate: A case report," Sultan Qaboos University Medical Journal: Vol. 26: 376-381.
DOI: https://doi.org/10.18295/2075-0528.2993