title: Autologous cord blood transfusion in an infant with a huge sacrococcygeal teratoma.
abstract: We describe a case of cord blood harvest for autologous transfusion in a neonate weighing 3,992 g with a giant sacrococcygeal teratoma. The umbilical vein was pierced with an 18-gauge needle, and placental blood was withdrawn into two 50-ml syringes filled with 4 ml of citrate-phosphate-dextrose solution. Resection of the sacrococcygeal teratoma was performed on day one. During the operation the infant lost 46 ml of whole blood, more than 15% of the estimated total blood volume, and thus underwent autologous transfusion with 27.8 ml of packed red cells obtained from autologous cord blood. Consequently, she could avoid homologous blood transfusion during the hospital stay. This case highlights the safety of this procedure, with no evidence of consumption coagulopathy, hemolysis or bacterial infection.
authors.affiliation: Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan. hosonos@med.nihon-u.ac.jp
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Hosono
authors.forename: Hideo
authors.initials: H
authors.lastname: Mugishima
authors.forename: Yuko
authors.initials: Y
authors.lastname: Nakano
authors.forename: Masao
authors.initials: M
authors.lastname: Murabayashi
authors.forename: Masami
authors.initials: M
authors.lastname: Shimada
authors.forename: Michiyoshi
authors.initials: M
authors.lastname: Minato
authors.forename: Shigeru
authors.initials: S
authors.lastname: Takahashi
authors.forename: Kensuke
authors.initials: K
authors.lastname: Harada
authors.forename: Taro
authors.initials: T
authors.lastname: Ikeda
authors.forename: Masahiro
authors.initials: M
authors.lastname: Fukuzawa
mesh_terms: D016063:Blood Loss, Surgical; D001800:Blood Specimen Collection; D001804:Blood Transfusion, Autologous; D005260:Female; D005312:Fetal Blood / Q000637:transplantation*; D006801:Humans; D007231:Infant, Newborn; D012445:Sacrococcygeal Region; D013125:Spinal Neoplasms / Q000601:surgery*; D013724:Teratoma / Q000601:surgery*