Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision

Intra-operative haemodynamic volatility in a patient undergoing retroperitoneal cyst excision

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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 iphone 13 price ohio segment changes and hypertensive ngetikin.com 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.