Sacrococcygeal teratoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sabawoon Mirwais, M.B.B.S, M.D.[2] Mirdula Sharma, MBBS [3]

Patients with sacrococcygeal teratoma are generally well-appearing. Physical examination of patients with sacrococcygeal teratoma is usually remarkable for a protruding pre-sacral mass.

• Patients with sacrococcygeal teratoma are generally well-appearing.^[1]
• Presentation may vary by the age of the patient

• In utero: Mass extending off the caudal end
• In Infancy: asymptomatic or signs of obstruction of rectum or bladder
• At birth: Usually a visible mass under the skin at the sacro–coccygeal region

• Vital signs of patients with sacrococcygeal teratoma are usually within normal limits.

• Protruding pre-sacral mass

• HEENT examination of patients with sacrococcygeal teratoma is usually normal.

• Neck examination of patients with sacrococcygeal teratoma is usually normal.

• Pulmonary examination of patients with sacrococcygeal teratoma is usually normal.

• Cardiovascular examination of patients with sacrococcygeal teratoma is usually normal.

• Abdominal distension (in rare cases)

• Protruding pre-sacral mass

• Genitourinary examination of patients with sacrococcygeal teratoma is usually normal.

• Small sacrococcygeal teratoma does not present with any neurological deficits. ^[1]
• Large sacrococcygeal teratoma can present with paresis or paralysis if it compresses a nerve.

• Extremities examination of patients with sacrococcygeal teratoma is usually normal.

• Rectal mass causing pressure on rectum.

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