**1. Introduction**

Sacrococcygeal teratoma is the most common congenital neoplasm. The word "teratoma" is derived from the Greek word "teratos" meaning monster. The first reported case was described on a cuneiform tablet dated approximately 2000 BC. Advances in antenatal imaging have let to prenatal detection of most SCTs and may avoid early mortality. Delayed presentation and presence of malignant elements continue to be poor prognostic factors, while surgical goal remains complete resection.
