Anesthetic Management in Premature Newborn with Huge Sacrococcygeal Teratoma: A Case Report

Sacrococcygeal teratomas are the most common congenital tumors in newborns. The primary treatment is early surgical resection. However, the risks of surgical procedures and tumor morphology, as well as the challenges of premature newborns, make the anesthetic management distinguished. In this case report, we present anesthesia management of 3.420 gr newborn on the postnatal 3rd day, who was born by caesarean delivery with 176x130x130 mm huge sacrococcygeal teratoma at 32 weeks of gestation.

Dev Sakrokoksigeal Teratomu Olan Prematür Yenidoğanın Anestezi Yönetimi: Olgu Sunumu

Sakrokoksigeal teratomlar yenidoğanlarda en sık görülen konjenital tümörlerdir. Birincil tedavisi erken cerrahi rezeksiyondur. Bununla birlikte, cerrahi prosedür, tümör morfolojisi ve prematür yenidoğan ile ilişkili zorluklar anestezi yönetimini karmaşık hale getirir. Bu olgu sunumunda 3,420 gr ağırlığında, 32. gestasyon haftasında sezaryen ile doğurtulmuş, 176x130x130 mm boyutlarında dev sakrokoksigeal teratomu olan 3 günlü yenidoğanın anestezi yönetimini sunduk.

Kaynakça

1. Abraham E, Parray T, Ghafoor A. Complications with massive sacrococcygeal tumor resection on a premature neonate. J Anesth 2010;24(6):951-954.

2. HuddartSN, Mann JR, Robinson K, Raafat F, Imeson J, Gornall P, et al. Sacrococcygeal teratomas: the UK Children’s Cancer Study Group’sexperience. I. Neonatal. Pediatr Surg Int 2003;19(1-2):47-51.

3. Wakhlu A, Misra S, TandonRK, Wakhlu AK. Sacrococcygeal teratoma. Pediatr Surg Int 2002;18:384-387.

4. Isserman RS, Nelson O, Tran MK, Cai L, Polansky M, Rosenbloom JM, Goebel TK, et al. Risk factors for perioperative mortality and transfusion in sacrococcygeal teratoma resections. Paediatr Anaesth 2017;27(7):726-732.

5. Kim JW, Gwak M, Park JY, Kim HJ, Lee YM. Cardiac arrest during excision of a huge sacrococcygeal teratoma- A report of two cases. Korean J Anesthesiol 2012;63(1):80-84.

6. Kremer ME, Wellens LM, Derikx JP, van Baren R, Heij HA, Wijnen MHWA, et al. Hemorrhage is the most common cause of neonatal mortality in patients with sacrococcygeal teratoma. J Pediatr Surg 2016;51(11):1826-1829.

7. Singh A, Jain M, Majumdar M, Jain BB. Anesthetic Management of Sacrococcygeal Teratoma-A Case Report. Ann Int Med Den Res 2018;4(4):AN01-3.

8. Silay E, Coşkuner İ, Yıldız H, Yardımcı C, Özkan KU, Davutoğlu M. The Importance of the Management of Anaesthesia During Surgery for Sacrococcygeal Teratoma in the Newborn. Turk J Anaesth Reanim 2012;40(6):332-334.

9. Akin M, Keskin G, Şenaylı Y. Journal of Anesthesia- JARSS 2017;25(2):96-100.

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