Cervical Teratoma in a Neonate; Surgical Challenges and Postoperative Outcome: A Case Report

Farzana Arab, Hadika Nosheen, Naima Zamir

Abstract

Cervical teratomas are rare congenital tumors that may cause life threatening airway obstruction in neonates. Early diagnosis, multidisciplinary planning, and timely surgical excision are crucial for optimal outcome. A 4-hours-old male baby presented with a huge swelling in the neck. Neonate was in a stable condition. Initially feeding was given through nasogastric tube to avoid possible aspiration. After discussion in multidisciplinary team and essential investigations the baby was operated electively at age of 35-days. Endotracheal intubation was uneventful. Mass was excised after careful dissection. The blood supply of the mass was found arising from the right carotid artery. Trachea appeared deformed and was displaced towards the left side. In postoperative period patient was kept on ventilator support. However, the condition of the baby kept deteriorating. Tracheostomy was added to improve the ventilation, however baby expired on sixth postoperative day due to sepsis.

Key words

Teratoma, Neonate, Antenatal, Neck.