Devascularization and staged resection of giant sacrococcygeal teratoma in the premature infant.
Sacrococcygeal teratoma identified in utero is associated with 50% fetal demise, which is caused by hyperdynamic cardiac failure, hemorrhage, and polyhydramnios-induced preterm labor. A premature infant (26 weeks' gestation) with prenatally diagnosed sacrococcygeal teratoma was managed successfully with initial devascularization to control the hyperdynamic state, followed by staged resection.
Robertson
F M
FM
Division of Pediatric Surgery, Tufts University School of Medicine, Boston, MA, USA.
Crombleholme
T M
TM
Frantz
I D
ID
Shephard
B A
BA
Bianchi
D W
DW
D'Alton
M E
ME
D001158:Arteries / Q000601:surgery; D016534:Cardiac Output, High / Q000601:surgery; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007231:Infant, Newborn; D007234:Infant, Premature; D008026:Ligation; D011247:Pregnancy; D011300:Preoperative Care; D012445:Sacrococcygeal Region; D012983:Soft Tissue Neoplasms / Q000098:blood supply / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D013724:Teratoma / Q000098:blood supply / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D016216:Ultrasonography, Prenatal