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: J.M. Davidson (Author), T. Head (Author), M.F. Weems (Author), J. Jones (Author), Y. Weatherall (Author)
Format: Book
Published: Elsevier, 2022-09-01T00:00:00Z.
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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.
Item Description:2213-5766
10.1016/j.epsc.2022.102392