| CASE REPORT |
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| Year : 2012 | Volume
: 56
| Issue : 2 | Page : 175-178 |
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Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision
Thrivikrama Padur Tantry1, Sunil P Shenoy2, Pramal Shetty1, Karunakara K Adappa1
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
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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