Anaesthetic Management of a Patient with Solitary Fibrous Tumour of Pleura with Postoperative Diagnosis of Doege Potter Syndrome: A Case Report.

Autor: SHAH, BHAVINI, KORE, SHILPA, JAGTAP, PALLAVI PRATAP, SHAH, KRUSHA
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Zdroj: Journal of Clinical & Diagnostic Research; Aug2024, Vol. 18 Issue 8, p7-9, 3p
Abstrakt: Pleural tumours represent a small yet significant subset of thoracic malignancies. Solitary Fibrous Tumours of the Pleura (SFTPs) are typically benign and account for 5% of all pleural tumours. Authors report a case of SFTPs excision with a postoperative diagnosis of Doege Potter Syndrome (DPS) in a 63-year-old male patient who was referred with complaints of chronic productive cough and breathlessness. Upon clinical and radiological evaluation, he was diagnosed with SFTPs. The patient experienced preoperative and intraoperative hypoglycaemic episodes, which were diagnosed as DPS during postoperative evaluation. This syndrome is a paraneoplastic condition associated with the secretion of Insulin-like growth factor-2 (IGF-II), observed in less than 5% of patients with SFTPs, with hypoglycaemia being a major symptom. Awake intubation and other procedures were performed with the patient in a propped-up position as he was unable to lie supine, which caused dyspnoea. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index