Superficial carotid artery secondary to cervical teratoma

Cervical teratomas are rare tumors, presenting as a mass in the neck at birth. Affected infants usually have respiratory compromise and dysphagia, secondary to tracheal and esophageal compression. Treatment consists of airway control, followed by surgical excision, which may be complicated by marked displacement of normal tissues. We present a case in which displacement of neck contents by mass effect resulted in a carotid artery course as close as 2mm from the skin surface. Radiographic and ultrasonographic documentation is included.