Emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonate
Sacrococcygeal teratomas (SCT) are rarely seen in neonatal period. The primary treatment is surgical resection. Stabilizing these infants preoperatively and intraoperatively has posed a challenge to pediatric specialists. The most common complications of prenatally diagnosed SCTs are high-output hea...
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| Main Authors: | , , , , |
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| Format: | Book |
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Elsevier,
2022-09-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | Sacrococcygeal teratomas (SCT) are rarely seen in neonatal period. The primary treatment is surgical resection. Stabilizing these infants preoperatively and intraoperatively has posed a challenge to pediatric specialists. The most common complications of prenatally diagnosed SCTs are high-output heart failure, tumor rupture causing hemorrhaging, and electrolyte abnormalities. Severe hyperkalemia can be lethal. We present a case where typical medical management of hyperkalemia was unsuccessful and emergent decision had to be made to perform exchange transfusion while infant was undergoing surgical resection with a good outcome. |
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| Item Description: | 2213-5766 10.1016/j.epsc.2022.102392 |