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...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-09-01
|
| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622002196 |
| _version_ | 1798038208905216000 |
|---|---|
| author | J.M. Davidson T. Head M.F. Weems J. Jones Y. Weatherall |
| author_facet | J.M. Davidson T. Head M.F. Weems J. Jones Y. Weatherall |
| author_sort | J.M. Davidson |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T21:37:06Z |
| format | Article |
| id | doaj.art-d802c6a0dccf44c6a4005ed5a7ecd197 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-11T21:37:06Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-d802c6a0dccf44c6a4005ed5a7ecd1972022-12-22T04:01:44ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-09-0184102392Emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonateJ.M. Davidson0T. Head1M.F. Weems2J. Jones3Y. Weatherall4University of Tennessee Health Science Center, 920 Madison Ave, Memphis, TN 38163, USA; LeBonheur Children's Hospital, 848 Adams Ave, Memphis, TN, 38103, USA; Corresponding author. 853 Jefferson Ave, Suite 201, Memphis, TN, 38163, USA.University of Tennessee Health Science Center, 920 Madison Ave, Memphis, TN 38163, USA; LeBonheur Children's Hospital, 848 Adams Ave, Memphis, TN, 38103, USAUniversity of Tennessee Health Science Center, 920 Madison Ave, Memphis, TN 38163, USA; LeBonheur Children's Hospital, 848 Adams Ave, Memphis, TN, 38103, USAUniversity of Tennessee Health Science Center, 920 Madison Ave, Memphis, TN 38163, USA; LeBonheur Children's Hospital, 848 Adams Ave, Memphis, TN, 38103, USAUniversity of Tennessee Health Science Center, 920 Madison Ave, Memphis, TN 38163, USA; LeBonheur Children's Hospital, 848 Adams Ave, Memphis, TN, 38103, USASacrococcygeal 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.http://www.sciencedirect.com/science/article/pii/S2213576622002196Sacrococcygeal teratomasHyperkalemiaExchange transfusion |
| spellingShingle | J.M. Davidson T. Head M.F. Weems J. Jones Y. Weatherall Emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonate Journal of Pediatric Surgery Case Reports Sacrococcygeal teratomas Hyperkalemia Exchange transfusion |
| title | Emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonate |
| title_full | Emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonate |
| title_fullStr | Emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonate |
| title_full_unstemmed | Emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonate |
| title_short | Emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonate |
| title_sort | emergent exchange transfusion during surgical resection of sacrococcygeal teratoma in a neonate |
| topic | Sacrococcygeal teratomas Hyperkalemia Exchange transfusion |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622002196 |
| work_keys_str_mv | AT jmdavidson emergentexchangetransfusionduringsurgicalresectionofsacrococcygealteratomainaneonate AT thead emergentexchangetransfusionduringsurgicalresectionofsacrococcygealteratomainaneonate AT mfweems emergentexchangetransfusionduringsurgicalresectionofsacrococcygealteratomainaneonate AT jjones emergentexchangetransfusionduringsurgicalresectionofsacrococcygealteratomainaneonate AT yweatherall emergentexchangetransfusionduringsurgicalresectionofsacrococcygealteratomainaneonate |