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Indian Journal of Anesthesia and Analgesia 12(2):p 145-147, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.12
Case Report
Anaesthetic Management of Infant with Sacro-Coccygeal Teratoma
T.R. Jananipriya, Vishnuvardhan V., Nsuresh kumar, Dandamudi Sirichandana
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(2):p 145-147, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.12
How Cite This Article:
Jananipriya TR, Vishnuvardhan V, et al. Anaesthetic management of infant with sacro-coccygeal teratoma. Ind J Anesth Analg. 2025;12(2):145-147.Timeline
Received : January 27, 2025
Accepted : April 04, 2025
Published : June 23, 2025
Abstract
Introduction: Sacro-coccygeal Teratoma (SCT) is the most common tumor of the newborn, occurring in 1:35000-40000 live births. It is more common in females with a ratio of 3-4:1. The tumor is small and presents as a lump in the sacral region. It is the tumor located at the base of coccyx (tailbone). It is derived from two or three embryonic germ cell layers. Case Report: A one month 2 days old male infant's mother given complaints of abdominal distension and passage of green colour stools and vomiting. Baby was admitted in SNICU. CECT abdomen and pelvis showed multiple small round to oval cystic areas. It is in close relation with lower lumbar and sacrum from L5 to S3 level suggestive of ? primitive neuroectodermal tumor, ? Immature teratoma, ? Yolksac tumor, ? GIST. Baby was premedicated with Glycopyrrolate 0.01mg and fentanyl 5mcg. Started maintenance fluid of isolyte P 15ml/hr. Preoxygenation was done for 3 mins and Baby was induced with Thiopentone and Sevoflurane and intubation was normal with direct laryngoscope. Muscle Relaxation is achieved with Atracurium 1.3mg iv given as loading dose and 0.25mg was given as maintenance dose. Warmer is connected. Pressure points were padded and baby's eyes were covered properly with cotton rolls. Baby was shifted to SNICU with tube insitu.one day baby was ventilated and next day extubated after spontaneous trial and kept on nasal prongs with 2lts of O2. After uneventful post op recovery and utmost care, baby got discharged after 20 days. Conclusion: As most of the SCT tumors are benign in infants, it should be identified early and gets operated. The prognosis of this tumor is excellent in infants. Anaesthetic management includes specific considerations in this baby were fluid loss, posture and temperature control. Thus, early diagnosis, management of intra-operative blood loss, hypothermia and post-operative nursing can bring favourable outcome.
References
- 1. Shonubi A.M., Musa A.A., Akiode O., Salami B.A., Kingu H.J., Adnan S.M. Mature sacrococcygeal teratoma: a case report and literature review. West Afr J Med. 2004; 23(2): 176-9.
- 2. Legbo J.N., Opara W.E., Legbo J.F. Mature sacrococcygeal teratoma: case report. Afr Health Sci. 2008; 8(1): 54-7.
- 3. Choudhury S., Kaur M., Pandey M, Jain A. Anaesthestic management of sacrococcygeal teratoma in infants. Indian J Anaesth. 2016; 60(5): 374-5.
- 4. Ashley D.J. Origin of teratomas. Cancer. 1973; 32(2): 390-4.
- 5. Isaacs H. Jr. Perinatal (fetal and neonatal) germ cell tumors. J Pediatr Surg. 2004; 39(7): 1003-13.
- 6. Girwalkar-Bagle A., Thatte W.S., Gulia P. Sacrococcygeal teratoma: A case report and review of literature. Anaesth Pain & Intensive Care 2014; 18(4): 449-51.
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This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
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The authors report no conflicts of interest in this work.
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Cite this article
Jananipriya TR, Vishnuvardhan V, et al. Anaesthetic management of infant with sacro-coccygeal teratoma. Ind J Anesth Analg. 2025;12(2):145-147.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| January 27, 2025 | April 04, 2025 | June 23, 2025 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.12
Keywords
Sacrococcygeal TeratomaInfantsBenignAnaesthesiaSearch for Similar Articles
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Timeline
| Received | January 27, 2025 |
| Accepted | April 04, 2025 |
| Published | June 23, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
