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 here 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 bolia outlet gent 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.