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.
Publication details
- DOI
- 10.18295/2075-0528.2993
- Journal
- Sultan Qaboos University Medical Journal, 26(1), 376-381
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Almaawali, A. K., Alwahaibi, A., Al-Shaqsi, Y., Laghari, F., Dawud, B., & Al Riyami, M. (2026). Successful Laparoscopic-Assisted Management of a Rare Purely Cystic Type IV Sacrococcygeal Teratoma in Neonate: A case report. Sultan Qaboos University Medical Journal, 26(1), 376-381. https://doi.org/10.18295/2075-0528.2993
MLA 9
Almaawali, Alghalya Khalid, et al. "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, no. 1, 2026, pp. 376-381. https://doi.org/10.18295/2075-0528.2993.
Chicago (author–date)
Almaawali, Alghalya Khalid, Ahmed Alwahaibi, Yousuf Al-Shaqsi, Farman Laghari, Bashar Dawud, and Marwa Al Riyami. 2026. "Successful Laparoscopic-Assisted Management of a Rare Purely Cystic Type IV Sacrococcygeal Teratoma in Neonate: A case report." Sultan Qaboos University Medical Journal 26 (1): 376-381. https://doi.org/10.18295/2075-0528.2993.
Harvard
Almaawali, A. K., Alwahaibi, A., Al-Shaqsi, Y., Laghari, F., Dawud, B. and Al Riyami, M. (2026) 'Successful Laparoscopic-Assisted Management of a Rare Purely Cystic Type IV Sacrococcygeal Teratoma in Neonate: A case report', Sultan Qaboos University Medical Journal, 26(1), pp. 376-381. doi:10.18295/2075-0528.2993.
Vancouver
Almaawali AK, Alwahaibi A, Al-Shaqsi Y, Laghari F, Dawud B, Al Riyami M. Successful Laparoscopic-Assisted Management of a Rare Purely Cystic Type IV Sacrococcygeal Teratoma in Neonate: A case report. Sultan Qaboos University Medical Journal. 2026;26(1):376-381. doi:10.18295/2075-0528.2993
IEEE
A. K. Almaawali, A. Alwahaibi, Y. Al-Shaqsi, F. Laghari, B. Dawud, and M. Al Riyami, "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, no. 1, pp. 376-381, 2026, doi: 10.18295/2075-0528.2993.