title: Case Report: Severe acute respiratory distress by tracheal obstruction due to a congenital thyroid teratoma.
abstract: Congenital teratoma is a rare condition and is a germ cell tumor composed of elements from one or more of the embryonic germ layers and contain tissues usually foreign to the anatomic site of origin. We report a case of a neck tumor diagnosed during pregnancy, initially thought to be a goiter. After birth the neck mass kept growing until it compressed the trachea and produced respiratory failure. The infant had a difficult tracheal intubation because of the compressing mass. The staff decided to surgically remove the neck mass. After that, the infant became eupneic. The histological analysis showed a mature teratoma with no atypias.
authors.affiliation: Pediatric Intensive Care Unit, Santa Catarina Hospital, São Paulo, 01310-000, Brazil.
authors.forename: Jose
authors.initials: J
authors.lastname: Colleti Junior
authors.affiliation: Pediatric Surgery Group, Santa Catarina Hospital, São Paulo, 01310-000, Brazil.
authors.forename: Uenis
authors.initials: U
authors.lastname: Tannuri
authors.affiliation: Pediatric Endocrinology Group, Santa Catarina Hospital, São Paulo, 01310-000, Brazil.
authors.forename: Felipe
authors.initials: F
authors.lastname: Monti Lora
authors.affiliation: Pediatric Oncology Group, Santa Catarina Hospital, São Paulo, 01310-000, Brazil.
authors.forename: Eliana Carla
authors.initials: EC
authors.lastname: Armelin Benites
authors.affiliation: Pediatric Intensive Care Unit, Santa Catarina Hospital, São Paulo, 01310-000, Brazil.
authors.forename: Walter
authors.initials: W
authors.lastname: Koga
authors.affiliation: Pediatric Intensive Care Unit, Santa Catarina Hospital, São Paulo, 01310-000, Brazil.
authors.forename: Janete
authors.initials: J
authors.lastname: Honda Imamura
authors.affiliation: Pediatric Intensive Care Unit, Santa Catarina Hospital, São Paulo, 01310-000, Brazil.
authors.forename: Patricia
authors.initials: P
authors.lastname: Rute Moutinho
authors.affiliation: Pediatric Intensive Care Unit, Santa Catarina Hospital, São Paulo, 01310-000, Brazil.
authors.forename: Werther
authors.initials: W
authors.lastname: Brunow de Carvalho
keywords: children case report; hypothyroidism; pediatric neck mass; pediatric respiratory distress; thyroid teratoma