Anesthetic management of a huge retroperitoneal leiomyoma: a case report
Abstract Background Retroperitoneal leiomyomas are rare, with just over 100 cases reported in the literature. Perioperative management of retroperitoneal leiomyomas can be challenging due to the large tumor size and the risk of hemorrhage. Case presentation We report a case of a 40-year-old Han woma...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | Perioperative Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13741-023-00352-w |
| _version_ | 1797414479404728320 |
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| author | Yue Shi Bo Zhu Yu Zhang Yuguang Huang |
| author_facet | Yue Shi Bo Zhu Yu Zhang Yuguang Huang |
| author_sort | Yue Shi |
| collection | DOAJ |
| description | Abstract Background Retroperitoneal leiomyomas are rare, with just over 100 cases reported in the literature. Perioperative management of retroperitoneal leiomyomas can be challenging due to the large tumor size and the risk of hemorrhage. Case presentation We report a case of a 40-year-old Han woman with a 40-cm retroperitoneal leiomyoma. General anesthesia was performed for the surgical resection. Key flow parameters like cardiac output and stroke volume variation, as shown by the Vigileo™-FloTrac™ system, enabled the anesthesiologist to implement goal-directed fluid optimization. Acute normovolemic hemodilution and cell salvage technique were used resulting in a successful en bloc tumor resection with a 6000-mL estimated blood loss. Although the patient experienced postoperative bowel obstruction, no other significant complications were observed. Conclusion Advanced hemodynamic monitoring and modern patient blood management strategies are particularly helpful for anesthetic management of huge retroperitoneal leiomyomas. |
| first_indexed | 2024-03-09T05:33:42Z |
| format | Article |
| id | doaj.art-cc5e4d9f5bdb43838e6a332306e97132 |
| institution | Directory Open Access Journal |
| issn | 2047-0525 |
| language | English |
| last_indexed | 2024-03-09T05:33:42Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Perioperative Medicine |
| spelling | doaj.art-cc5e4d9f5bdb43838e6a332306e971322023-12-03T12:31:00ZengBMCPerioperative Medicine2047-05252023-11-011211710.1186/s13741-023-00352-wAnesthetic management of a huge retroperitoneal leiomyoma: a case reportYue Shi0Bo Zhu1Yu Zhang2Yuguang Huang3Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical CollegeDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical CollegeDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical CollegeDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical CollegeAbstract Background Retroperitoneal leiomyomas are rare, with just over 100 cases reported in the literature. Perioperative management of retroperitoneal leiomyomas can be challenging due to the large tumor size and the risk of hemorrhage. Case presentation We report a case of a 40-year-old Han woman with a 40-cm retroperitoneal leiomyoma. General anesthesia was performed for the surgical resection. Key flow parameters like cardiac output and stroke volume variation, as shown by the Vigileo™-FloTrac™ system, enabled the anesthesiologist to implement goal-directed fluid optimization. Acute normovolemic hemodilution and cell salvage technique were used resulting in a successful en bloc tumor resection with a 6000-mL estimated blood loss. Although the patient experienced postoperative bowel obstruction, no other significant complications were observed. Conclusion Advanced hemodynamic monitoring and modern patient blood management strategies are particularly helpful for anesthetic management of huge retroperitoneal leiomyomas.https://doi.org/10.1186/s13741-023-00352-wRetroperitoneal leiomyomaGeneral anesthesiaPatient blood managementAdvanced hemodynamic monitoringCase report |
| spellingShingle | Yue Shi Bo Zhu Yu Zhang Yuguang Huang Anesthetic management of a huge retroperitoneal leiomyoma: a case report Perioperative Medicine Retroperitoneal leiomyoma General anesthesia Patient blood management Advanced hemodynamic monitoring Case report |
| title | Anesthetic management of a huge retroperitoneal leiomyoma: a case report |
| title_full | Anesthetic management of a huge retroperitoneal leiomyoma: a case report |
| title_fullStr | Anesthetic management of a huge retroperitoneal leiomyoma: a case report |
| title_full_unstemmed | Anesthetic management of a huge retroperitoneal leiomyoma: a case report |
| title_short | Anesthetic management of a huge retroperitoneal leiomyoma: a case report |
| title_sort | anesthetic management of a huge retroperitoneal leiomyoma a case report |
| topic | Retroperitoneal leiomyoma General anesthesia Patient blood management Advanced hemodynamic monitoring Case report |
| url | https://doi.org/10.1186/s13741-023-00352-w |
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