Type IV Sacrococcygeal Teratoma with Urinary Incontinence

Abstract

ABSTRACT Sacrococcygeal teratoma (SCT) is the most common extragonadal germ cell tumor. Based on the external presentation, types I, II, III, and IV are described. Up to 70% of individuals with type IV SCT may experience a delay in diagnosis due to little evidence of an external tumor and the frequent occurrence of obstructive symptoms. We described a rare case of type IV SCT in a 2-year-old girl who primarily exhibited symptoms of urinary incontinence and constipation. She was eventually diagnosed and managed successfully with the complete excision of the tumor along with a colostomy and urinary diversion.