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CASE REPORT
Year : 2012  |  Volume : 56  |  Issue : 2  |  Page : 175-178

Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision


1 Department of Anaesthesiology, A J Institute of Medical Sciences, Kuntikana, Mangalore, Karnataka, India
2 Department of Urology, A J Institute of Medical Sciences, Kuntikana, Mangalore, Karnataka, India

Correspondence Address:
Thrivikrama Padur Tantry
Department of Anaesthesiology, A J Institute of Medical Sciences, Kuntikana, Mangalore - 575 004, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.96341

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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.


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