Anesthetic management of a patient with undiagnosed paraganglioma -a case report-
Retroperitoneal paragangliomas are uncommon neuroendocrine tumors which are derived from extra-adrenal paraganglioma with various clinical signs and symptoms. Although most extra-adrenal paragangliomas are histologically benign, some tumors can synthesize and secrete excess catecholamine from the tu...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2013-12-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-65-574.pdf |
| _version_ | 1818402391101276160 |
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| author | In Soo Han Yee-Suk Kim Joo-Hyun Yoo Sung Soo Lim Tae Kwane Kim |
| author_facet | In Soo Han Yee-Suk Kim Joo-Hyun Yoo Sung Soo Lim Tae Kwane Kim |
| author_sort | In Soo Han |
| collection | DOAJ |
| description | Retroperitoneal paragangliomas are uncommon neuroendocrine tumors which are derived from extra-adrenal paraganglioma with various clinical signs and symptoms. Although most extra-adrenal paragangliomas are histologically benign, some tumors can synthesize and secrete excess catecholamine from the tumor. Excessive production of catecholamine causes numerous cardiovascular manifestations such as severe hypertension, cardiomyopathy, cardiac arrhythmias, and even multiorgan failure. It can lead to high risks of morbidity and mortality, especially in patients who are unrecognized or not adequately prepared. We present a female patient who was preoperatively undiagnosed of secreting retroperitoneal paraganglioma that caused cardiac tachyarrhythmia and severe intraopertive hypertension not controlled by usual antihypertensive agents. A secreting extra-adrenal paraganglioma should be included in differential diagnosis for patient who have incidentaloma and show wide range of hypertension with hemodynamic instability that is not well controlled by common antihypertensive drugs. |
| first_indexed | 2024-12-14T08:07:37Z |
| format | Article |
| id | doaj.art-122faf922dc347e08e242bae1a963c57 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-14T08:07:37Z |
| publishDate | 2013-12-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-122faf922dc347e08e242bae1a963c572022-12-21T23:10:08ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632013-12-0165657457710.4097/kjae.2013.65.6.5747724Anesthetic management of a patient with undiagnosed paraganglioma -a case report-In Soo Han0Yee-Suk Kim1Joo-Hyun Yoo2Sung Soo Lim3Tae Kwane Kim4Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.Retroperitoneal paragangliomas are uncommon neuroendocrine tumors which are derived from extra-adrenal paraganglioma with various clinical signs and symptoms. Although most extra-adrenal paragangliomas are histologically benign, some tumors can synthesize and secrete excess catecholamine from the tumor. Excessive production of catecholamine causes numerous cardiovascular manifestations such as severe hypertension, cardiomyopathy, cardiac arrhythmias, and even multiorgan failure. It can lead to high risks of morbidity and mortality, especially in patients who are unrecognized or not adequately prepared. We present a female patient who was preoperatively undiagnosed of secreting retroperitoneal paraganglioma that caused cardiac tachyarrhythmia and severe intraopertive hypertension not controlled by usual antihypertensive agents. A secreting extra-adrenal paraganglioma should be included in differential diagnosis for patient who have incidentaloma and show wide range of hypertension with hemodynamic instability that is not well controlled by common antihypertensive drugs.http://ekja.org/upload/pdf/kjae-65-574.pdfcatecholaminehypertensive crisisparaganglioma |
| spellingShingle | In Soo Han Yee-Suk Kim Joo-Hyun Yoo Sung Soo Lim Tae Kwane Kim Anesthetic management of a patient with undiagnosed paraganglioma -a case report- Korean Journal of Anesthesiology catecholamine hypertensive crisis paraganglioma |
| title | Anesthetic management of a patient with undiagnosed paraganglioma -a case report- |
| title_full | Anesthetic management of a patient with undiagnosed paraganglioma -a case report- |
| title_fullStr | Anesthetic management of a patient with undiagnosed paraganglioma -a case report- |
| title_full_unstemmed | Anesthetic management of a patient with undiagnosed paraganglioma -a case report- |
| title_short | Anesthetic management of a patient with undiagnosed paraganglioma -a case report- |
| title_sort | anesthetic management of a patient with undiagnosed paraganglioma a case report |
| topic | catecholamine hypertensive crisis paraganglioma |
| url | http://ekja.org/upload/pdf/kjae-65-574.pdf |
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