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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 1  |  Page : 85

Adrenal Insufficiency in a Cancer Patient Presenting as Acute Hypotension During Induction of Anaesthesia


1 Resident, Department of Surgical Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, J.L.N. Road, Jaipur, India
2 Consultant, Department of Surgical Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, J.L.N. Road, Jaipur, India
3 Consultant & Head, Department of Surgical Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, J.L.N. Road, Jaipur, India
4 Consultant, Department of Internal Medicine, Bhagwan Mahaveer Cancer Hospital & Research Centre, J.L.N. Road, Jaipur, India
5 Consultant Department of Surgical Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, J.L.N. Road, Jaipur, India

Correspondence Address:
Shilpi Singhal
H.No. 419, Mahaveer Nagar-I, Tonk Road, Jaipur-302018
India
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Source of Support: None, Conflict of Interest: None


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A 54 year-old-male, a case of squamous cell carcinoma of right pyriform fossa, treated with radical radiotherapy & chemo­therapy in 2004, presented in January 2007, with difficulty in swallowing. He was diagnosed to have squamous cell carcinoma of upper third of oesophagus & surgery was planned. Patient had history of recurrent blackouts which were attributed to general­ized weakness and diarrhoea. During induction, he developed Hypotension & on evaluation, was diagnosed to have primary adrenal insufficiency.


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