Giant sacrococcygeal teratoma: Management concerns with reporting of a rare occurrence of venous air embolism

A 24‐hour‐old, term neonate, weighing 3.4 kg, born by cesarean section presented with a huge sacral mass of size 20 cm × 20 cm, involving coccyx, extending to both buttocks, with intact skin [Figure 1]. Tumor resection was planned at 24 h of birth. Preoperative hemoglobin was 16 g/dl, and other investigations were within normal limits. Blood for grouping and crossmatching was sent. Chest roentgenogram was normal. Echocardiography showed a small patent ductus arteriosus with patent foramen ovale with left‐to‐right shunt, and computed tomography scan showed a large heterogeneous sacrococcygeal mass with little intrapelvic extension [Figure 2].