Undiagnosed paraganglioma

• Verfasst von: Heinze, Alexander [VerfasserIn] [VerfasserIn]
• Verfasst von: Nikomanis, Periklis [VerfasserIn]
• Verfasst von: Petzold, Ferdinand [VerfasserIn]
• Verfasst von: Rassweiler, Jens [VerfasserIn]
• Verfasst von: Gözen, Ali Serdar [VerfasserIn]
• Titel: Undiagnosed paraganglioma
• Titelzusatz: a challenge during laparoscopic retroperitoneal resection
• Verf.angabe: Alexander Heinze, Periklis Nikomanis, Ferdinand Petzold, Jens Jochen Rassweiler, Ali Serdar Goezen
• E-Jahr: 2019
• Jahr: 2019-01-17
• Jahr des Originals: 2018
• Umfang: 2 S.
• Fussnoten: Gesehen am 05.06.2020
• Titel Quelle: Enthalten in: Archivio italiano di urologia e andrologia
• Ort Quelle: Pavia : PAGEPress, 2010
• Jahr Quelle: 2018
• Band/Heft Quelle: 90(2018), 4, Seite 297-298
• ISSN Quelle: 2282-4197
• DOI: doi:10.4081/aiua.2018.4.297
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Intraoperative complications.
• Sach-SW: Laparoscopic approach
• Sach-SW: Paraganglioma
• K10plus-PPN: 1699984344

Abstract

Objective: Report our experience of the management of a patient with undiagnosed retroperitoneal paraganglioma and the intraoperative complications that the theatre team faced. Case report: We present a case of a 36-year-old patient who during oncological follow-up for a previous diagnosis of parotid acinar cell carcinoma was incidentally identified as having an interaortocaval tumour. Following routine preoperative assessment the patient was arranged to undergo a laparoscopic retroperitoneal tumour resection. After minimal tumour manipulation the patient developed cardiac rhythm abnormalities and became hypertensive. The tumour was successfully removed laparoscopically after a cautious inter- aortocaval dissection. Abruptly, prior to extraction of the tumour containing endobag, the patient developed cardiac arrest. Following 35 minutes of life support measures there was a return of spontaneous circulation. The endobag was laparoscopically removed from the abdominal cavity 24 hours later using the initial operative port sites. The patient´s progression was satisfactory and he could be discharged six days postoperatively. Conclusions: Asymptomatic undiagnosed paragangliomas represent a real challenge during laparoscopic operations. Haemodynamic changes and life-threatening events can arise acutely intraoperatively, where an immediate and coordinated response of the whole theatre team may be required to avoid fatal outcome.