Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report
Abstract Background A giant congenital cervical teratoma is often highly vascularized; thus, in addition to a life-threatening airway occlusion at birth it comprises a high risk for significant and lethal blood loss during resection. In the case presented, an endovascular embolization of the carotid...
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doaj-fce4548df51f40869bb0b3b5940a90ba2020-11-25T02:08:44ZengBMCJournal of Medical Case Reports1752-19472019-03-011311510.1186/s13256-019-1976-0Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case reportOri Hochwald0Ziv Gil1Arie Gordin2Zeev Winer3Ron Avrahami4Eitan Abargel5Asaad Khoury6Amit Lehavi7Philippe Abecassis8Liron Eldor9Ofer Ben-Izhak10Liron Borenstein-Levin11Ran Stienberg12Amir Kugelman13Neonatal Intensive Care Unit, Ruth Rappaport Children’s Hospital, Rambam Health CampusDepartment of Otolaryngology Head and Neck Surgery, Rambam Health CampusDepartment of Otolaryngology Head and Neck Surgery, Rambam Health CampusThe Obstetrics & Gynecology Division, Rambam Health CampusThe Obstetrics & Gynecology Division, Rambam Health CampusInvasive Neuroradiology Unit, Rambam Health CampusDepartment of Pediatric Cardiology & Congenital Heart Disease in Adults, Ruth Rappaport Children’s Hospital, Rambam Health CampusThe Department of Anesthesiology, Rambam Health CampusThe Department of Anesthesiology, Rambam Health CampusThe Department of Plastic Surgery, Rambam Health CampusThe Department of Pathology, Rambam Health CampusNeonatal Intensive Care Unit, Ruth Rappaport Children’s Hospital, Rambam Health CampusThe Department of Pediatric Surgery, Rambam Health CampusNeonatal Intensive Care Unit, Ruth Rappaport Children’s Hospital, Rambam Health CampusAbstract Background A giant congenital cervical teratoma is often highly vascularized; thus, in addition to a life-threatening airway occlusion at birth it comprises a high risk for significant and lethal blood loss during resection. In the case presented, an endovascular embolization of the carotid artery that supplied a giant congenital cervical teratoma was done as part of a three-stage treatment soon after birth and contributed to an overall good outcome. Embolization in cases of cervical teratomas was not described previously. Case presentation We present a case of a preterm newborn from a Sephardic jewish origin with a giant, highly vascularized, congenital cervical teratoma that was managed successfully in three stages: (1) delivery by an ex utero intrapartum treatment procedure after extensive preoperative planning and followed by tracheostomy, (2) endovascular embolization of the carotid artery that supplied the tumor in order to decrease blood loss during resection, and (3) complete surgical resection. The parents were involved in all the ethical and medical decisions, starting just after the cervical mass was diagnosed prenatally. Conclusion The management of giant congenital cervical teratoma is often challenging from both a medical and ethical prospective. Meticulous perinatal planning and parents’ involvement is crucial. Endovascular embolization of the tumor feeding vessels can significantly improve the resection outcome and overall prognosis.http://link.springer.com/article/10.1186/s13256-019-1976-0NewbornCongenitalCervicalTeratomaEndovascular embolizationEx utero intrapartum treatment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ori Hochwald Ziv Gil Arie Gordin Zeev Winer Ron Avrahami Eitan Abargel Asaad Khoury Amit Lehavi Philippe Abecassis Liron Eldor Ofer Ben-Izhak Liron Borenstein-Levin Ran Stienberg Amir Kugelman |
spellingShingle |
Ori Hochwald Ziv Gil Arie Gordin Zeev Winer Ron Avrahami Eitan Abargel Asaad Khoury Amit Lehavi Philippe Abecassis Liron Eldor Ofer Ben-Izhak Liron Borenstein-Levin Ran Stienberg Amir Kugelman Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report Journal of Medical Case Reports Newborn Congenital Cervical Teratoma Endovascular embolization Ex utero intrapartum treatment |
author_facet |
Ori Hochwald Ziv Gil Arie Gordin Zeev Winer Ron Avrahami Eitan Abargel Asaad Khoury Amit Lehavi Philippe Abecassis Liron Eldor Ofer Ben-Izhak Liron Borenstein-Levin Ran Stienberg Amir Kugelman |
author_sort |
Ori Hochwald |
title |
Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_short |
Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_full |
Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_fullStr |
Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_full_unstemmed |
Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_sort |
three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
publisher |
BMC |
series |
Journal of Medical Case Reports |
issn |
1752-1947 |
publishDate |
2019-03-01 |
description |
Abstract Background A giant congenital cervical teratoma is often highly vascularized; thus, in addition to a life-threatening airway occlusion at birth it comprises a high risk for significant and lethal blood loss during resection. In the case presented, an endovascular embolization of the carotid artery that supplied a giant congenital cervical teratoma was done as part of a three-stage treatment soon after birth and contributed to an overall good outcome. Embolization in cases of cervical teratomas was not described previously. Case presentation We present a case of a preterm newborn from a Sephardic jewish origin with a giant, highly vascularized, congenital cervical teratoma that was managed successfully in three stages: (1) delivery by an ex utero intrapartum treatment procedure after extensive preoperative planning and followed by tracheostomy, (2) endovascular embolization of the carotid artery that supplied the tumor in order to decrease blood loss during resection, and (3) complete surgical resection. The parents were involved in all the ethical and medical decisions, starting just after the cervical mass was diagnosed prenatally. Conclusion The management of giant congenital cervical teratoma is often challenging from both a medical and ethical prospective. Meticulous perinatal planning and parents’ involvement is crucial. Endovascular embolization of the tumor feeding vessels can significantly improve the resection outcome and overall prognosis. |
topic |
Newborn Congenital Cervical Teratoma Endovascular embolization Ex utero intrapartum treatment |
url |
http://link.springer.com/article/10.1186/s13256-019-1976-0 |
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