Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia

Autor: Iyabo O. Muse, Kumar Vivek, Noah A Bloomgarden, Amit Singla, David S. Geller
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Anesthesiology, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-6382
2090-6390
DOI: 10.1155/2020/2482793
Popis: A 38-year-old female with a past history of pheochromocytoma and subsequent malignant paraganglioma presented with right arm pain after a fall. Imaging demonstrated a malunited humeral shaft associated with a large cortical destructive lesion and extraosseous extension. Here, we report the use of a multidisciplinary team approach including an endocrinologist, anesthesiologist, and orthopedic surgeon in the perioperative management of a patient with metastatic paraganglioma undergoing a surgical resection of the humerus, internal fixation, reconstruction, and placement of endoprosthesis. The challenges of perioperative anesthetic management and the use of regional anesthesia, especially peripheral nerve block for perioperative pain management, are highlighted.
Databáze: Directory of Open Access Journals
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