| Autor: |
Tantry TP; Department of Anaesthesiology, A J Institute of Medical Sciences, Kuntikana, Mangalore, Karnataka, India., Shenoy SP, Shetty P, Adappa KK |
| Jazyk: |
angličtina |
| Zdroj: |
Indian journal of anaesthesia [Indian J Anaesth] 2012 Mar; Vol. 56 (2), pp. 175-8. |
| DOI: |
10.4103/0019-5049.96341 |
| Abstrakt: |
Excision of a suspected retroperitoneal, duodenal duplication cyst was performed in a pre-operatively normotensive patient under combined epidural and general anaesthesia. Intraoperatively, the cystic tumour was discovered to be a retroperitoneal mass, free from duodenal or adrenal origin. Development of severe arrhythmias, ST segment changes and hypertensive spikes during cyst handling and dissection suggested the possibility of a catecholamine-secreting tumour. These were managed effectively with pharmacological agents. Subsequently, histopathology of the specimen revealed a paraganglioma. Vasoactive tumour has to be suspected in every patient undergoing anaesthesia for retroperitoneal cystic lesion. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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