CASE REPORT
Year : 2012 | Volume
: 56 | Issue : 2 | Page : 175--178
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
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.
How to cite this article:
Tantry TP, Shenoy SP, Shetty P, Adappa KK. Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision.Indian J Anaesth 2012;56:175-178
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How to cite this URL:
Tantry TP, Shenoy SP, Shetty P, Adappa KK. Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision. Indian J Anaesth [serial online] 2012 [cited 2013 May 19 ];56:175-178
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=2;spage=175;epage=178;aulast=Tantry;type=0 |
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