Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision
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. Developme...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=2;spage=175;epage=178;aulast=Tantry |
| _version_ | 1811239869949673472 |
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| author | Thrivikrama Padur Tantry Sunil P Shenoy Pramal Shetty Karunakara K Adappa |
| author_facet | Thrivikrama Padur Tantry Sunil P Shenoy Pramal Shetty Karunakara K Adappa |
| author_sort | Thrivikrama Padur Tantry |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T13:08:47Z |
| format | Article |
| id | doaj.art-06146f65c2e349d2972205ae16190fcc |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-04-12T13:08:47Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-06146f65c2e349d2972205ae16190fcc2022-12-22T03:31:55ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492012-01-0156217517810.4103/0019-5049.96341Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excisionThrivikrama Padur TantrySunil P ShenoyPramal ShettyKarunakara K AdappaExcision 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.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=2;spage=175;epage=178;aulast=TantryArrhythmiashaemodynamic instabilityparagangliomaretroperitoneal cyst |
| spellingShingle | Thrivikrama Padur Tantry Sunil P Shenoy Pramal Shetty Karunakara K Adappa Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision Indian Journal of Anaesthesia Arrhythmias haemodynamic instability paraganglioma retroperitoneal cyst |
| title | Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision |
| title_full | Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision |
| title_fullStr | Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision |
| title_full_unstemmed | Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision |
| title_short | Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision |
| title_sort | intra operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision |
| topic | Arrhythmias haemodynamic instability paraganglioma retroperitoneal cyst |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=2;spage=175;epage=178;aulast=Tantry |
| work_keys_str_mv | AT thrivikramapadurtantry intraoperativehaemodynamicvolatilityinapatientundergoingretroperitonealcystexcision AT sunilpshenoy intraoperativehaemodynamicvolatilityinapatientundergoingretroperitonealcystexcision AT pramalshetty intraoperativehaemodynamicvolatilityinapatientundergoingretroperitonealcystexcision AT karunakarakadappa intraoperativehaemodynamicvolatilityinapatientundergoingretroperitonealcystexcision |