Surgical treatment of cystic formations of the sacrococcygeal region in children: Clinical cases

Abstract

Objective. To present clinical cases of cystic formations of the sacrococcygeal region in children. This is a rather complex and relatively rare pathology, which is diagnosed at different periods of childhood and requires surgical intervention.
Materials and methods. An examination and surgical treatment of children diagnosed with cystic formation of the sacrococcygeal region was conducted at the Department of General and Planned Surgery of the Research Institute of Pediatric Surgery, Children’s Health Research Center of the Ministry of Health of the Russian Federation. All children underwent surgical treatment.
Results. Three clinical cases of sacrococcygeal pathology in children are described. The complexity of clinical and instrumental diagnosis is discussed. The details of surgical interventions are outlined. Positive long-term results are noted. The described experience in the diagnosis and surgical treatment of sacrococcygeal cystic formations in children presents interest to pediatric surgeons, pediatricians, oncologists, and neonatologists.
Conclusion. Presacral cystic formations should be detected and operated on in a timely manner. Children who underwent sacrococcygeal teratoma removal during the newborn period require mandatory follow-up in the long-term postoperative period, with ultrasound monitoring and MRI of the sacrococcygeal region, as well as oncological supervision. Treatment of recurrent teratomas of the sacrococcygeal region, as well as cystic formations of unknown etiology, in children is associated with the risk of damage to the rectum and other organs, and the pelvic diaphragm, which requires careful preoperative planning.