Giant Sacrococcygeal Teratoma in a Preterm Neonate-Anesthetic Challenges: A Case Report

Sacrococcygeal teratomas are one of the most common congenital tumors in the newborn that present with unique anesthetic challenges, especially in preterm neonates. We report the case of a 35-week preterm neonate with a large sacrococcygeal mass, who underwent early surgical excision on day 2 of life. This case report highlights the perioperative anesthetic challenges faced with the positioning of the patient for surgery, besides those pertaining to airway management, and maintenance of hemodynamic and thermal stability, in the 4-hour duration that the baby was in the operating room. After a long post-operative course, the patient was successfully discharged from the hospital.