Indian Journal of Anaesthesia  
About us | Editorial board | Search | Ahead of print | Current Issue | Past Issues | Instructions
Home | Login  | Users Online: 1807  Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size    


CASE REPORT
Year : 2007  |  Volume : 51  |  Issue : 2  |  Page : 143

Laparoscopic Bilateral Adrenalectomy in a patient of Cushing syndrome: A Challenge for the Anaesthesiologist


1 D.A., D.N.B. Resident, Department of Anaesthesiology, Maharashtra Medical Foundation, Pune, Maharashtra, India
2 M.D., D.A. Senior Consultant, Department of Anaesthesiology, Maharashtra Medical Foundation, Pune, Maharashtra, India
3 M.D. D.A. Professor and head, Department of Anaesthesiology, Maharashtra Medical Foundation, Pune, Maharashtra, India

Correspondence Address:
A M Deshpande
"Sammohini" bungalow, 720/4, Navi-Peth, Pune-411030, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

We present a case of Cushing syndrome who underwent laparoscopic bilateral adrenalectomy and discuss her intraoperative management and postoperative course in ICU, especially pulmonary oedema, that occurred within 3 hours after resection (half life of cortisol is 80-110 minutes). [1] She was diagnosed to have bilateral adrenal hyperplasia with no pituitary involvement on CT scan. Preoperative workup revealed hypokalemia, anaemia, hypertension and hyperglycemia. She was posted for laparoscopic bilateral adrenalectomy. She received general anaesthesia; we did not give epidural analgesia as the patient had fracture of body of L1 vertebrae. Her intra-operative course was uneventful. Post-operative concerns included acute adrenal insufficiency, hypoglycaemia, hypotension and hyperkalemia, which were successfully managed in ICU. Patient was then given oral corticosteroids. One month later she was reassessed and was in better health.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1609    
    Printed74    
    Emailed0    
    PDF Downloaded290    
    Comments [Add]    

Recommend this journal