Pediatric Surgery International

, Volume 29, Issue 12, pp 1341–1344 | Cite as

Intra-abdominal (Type IV) sacrococcygeal teratoma presenting with buttock hemangioma

  • Siavash Raigani
  • Dimitris Agamanolis
  • Oliver S. Soldes
  • Todd A. Ponsky
Case Report


Sacrococcygeal teratoma is the most common type of extragonadal germ cell tumor in infants and young children. Sacrococcygeal teratomas can uncommonly present in an intra-abdominal fashion, with minimal clinical findings. Dermatologic lesions overlying the vertebrae or buttocks are often associated with sacrococcygeal teratoma and may be the only clue to their presence. Here, we report a case of an intra-abdominal sacrococcygeal teratoma presenting with an anatomically separate buttock hemangioma.


Sacrococcygeal teratoma Hemangioma 


  1. 1.
    Altman RP, Randolph JG, Lilly JR (1974) Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973. J Pediatr Surg 9:389PubMedCrossRefGoogle Scholar
  2. 2.
    Liu KK, Lee KH et al (1994) Sacrococcygeal teratoma in children: a diagnostic challenge. Aust N Z J Surg 64:102–105PubMedCrossRefGoogle Scholar
  3. 3.
    Mullen M, Rabban J, Frieden IJ (2013) Sacrococcygeal teratoma masquerading as congenital hemangioma. Pediatr Dermatol 30(1):112–116PubMedCrossRefGoogle Scholar
  4. 4.
    Itinteang T, Tan ST et al (2012) Infantile haemangioma expresses embryonic stem cell markers. J Clin Pathol 65:394–398PubMedCrossRefGoogle Scholar
  5. 5.
    Bruckner AL, Frieden IJ (2004) Hemangiomas of infancy. J Am Acad Dermatol 48:477CrossRefGoogle Scholar
  6. 6.
    Albright AL, Gartner JC, Wiener ES (1989) Lumbar cutaneous hemangiomas as indicators of tethered spinal cords. Pediatrics 83:977PubMedGoogle Scholar
  7. 7.
    Goldberg NS, Hebert AA, Esterly NB (1986) Sacral hemangiomas and multiple congenital abnormalities. Arch Dermatol 122:684PubMedCrossRefGoogle Scholar
  8. 8.
    Bouchard S, Yazbeck S, Lallier S (1999) Perineal hemangioma, anorectal malformation, and genital anomaly: a new association? J Pediatr Surg 34:1133–1135PubMedCrossRefGoogle Scholar
  9. 9.
    Frieden IJ, Rogers M, Garzon M (2009) Conditions masquerading as infantile haemangioma: Part 1. Australas J Dermatol 50:77–99PubMedCrossRefGoogle Scholar
  10. 10.
    Frieden IJ, Rogers M, Garzon M (2009) Conditions masquerading as infantile haemangioma: Part 2. Australas J Dermatol 50:153–170PubMedCrossRefGoogle Scholar
  11. 11.
    Göbel U, Schneider DT, Calaminus G, Jürgens H, Spaar HJ, Sternschulte W, Waag K, Harms D (2001) Multimodal treatment of malignant sacrococcygeal germ cell tumors: a prospective analysis of 66 patients of the German cooperative protocols MAKEI 83/86 and 89. J Clin Oncol 19:1943PubMedGoogle Scholar
  12. 12.
    Rescorla FJ, Sawin RS, Coran AG, Dillon PW, Azizkhan RG (1998) Long-term outcome for infants and children with sacrococcygeal teratoma: a report from the Childrens Cancer Group. J Pediatr Surg 33:171PubMedCrossRefGoogle Scholar
  13. 13.
    Okada T, Sasaki F, Cho K, Honda S, Naito S, Hirokata G, Todo S (2008) Management and outcome in prenatally diagnosed sacrococcygeal teratomas. Pediatr Int 50:576–580PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Siavash Raigani
    • 1
  • Dimitris Agamanolis
    • 2
  • Oliver S. Soldes
    • 2
  • Todd A. Ponsky
    • 2
  1. 1.Case Western Reserve University School of MedicineClevelandUSA
  2. 2.Department of Pediatric SurgeryAkron Children’s HospitalAkronUSA

Personalised recommendations