Sacrococcygeal teratoma represents the most prevalent type of neonatal tumor, with an occurrence rate of approximately 1 in 35,000 to 40,000 live births. The prenatal diagnosis is predominantly conducted through morphological ultrasound and Doppler studies, facilitating early detection and the monitoring of potential complications. In this report, we present a case of sacrococcygeal teratoma diagnosed at 22 weeks of gestation, with no Doppler evidence of fetal hydrops or anemia. Due to a significant risk of premature labor, delivery was conducted via cesarean section at 34 weeks of gestation. Neonatal surgical intervention was carried out on the second-day post-birth. This case allows for an analysis of diagnostic and therapeutic strategies, compared against existing literature.
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