Journal of Anesthesia

, Volume 24, Issue 6, pp 951–954 | Cite as

Complications with massive sacrococcygeal tumor resection on a premature neonate

  • Edwin AbrahamEmail author
  • Tariq Parray
  • Abid Ghafoor
Clinical Report


Resection of large sacrococcygeal teratomas (SCT) in neonates can pose many anesthetic challenges. The pathophysiology of the SCT determines the varying management. We present a case report of a 34-week newborn with a massive Altman type 3 SCT. The surgery was delayed 2 days because of hyperkalemia; however, as a result of continued tumor lysis the patient’s condition had worsened with little improvement of the potassium level. During the surgery, the patient had issues of bleeding needing massive transfusion. Ventilation was also difficult at times because of the massive tumor resting on the chest, resulting in respiratory acidosis. We also had difficulty in maintaining the temperature. This patient did well after the surgery and was discharged home. We address here the anesthetic issues involved in the perioperative care management of a premature infant with a massive SCT.


Sacrococcygeal teratoma Tumor lysis Hyperkalemia 


Conflict of interest



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Copyright information

© Japanese Society of Anesthesiologists 2010

Authors and Affiliations

  1. 1.Department of Pediatric Anesthesiology and Pain Medicine, Arkansas Children’s HospitalUniversity of Arkansas for Medical SciencesLittle RockUSA

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