Undiagnosed paraganglioma: a challenge during laparoscopic retroperitoneal resection
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 paroti...
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| Main Authors: | , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2019-01-17
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| In: |
Archivio italiano di urologia e andrologia
Year: 2018, Volume: 90, Issue: 4, Pages: 297-298 |
| ISSN: | 2282-4197 |
| DOI: | 10.4081/aiua.2018.4.297 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.4081/aiua.2018.4.297 Verlag, lizenzpflichtig, Volltext: https://pagepressjournals.org/index.php/aiua/article/view/aiua.2018.4.297 
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| Author Notes: | Alexander Heinze, Periklis Nikomanis, Ferdinand Petzold, Jens Jochen Rassweiler, Ali Serdar Goezen |
| Summary: | 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. |
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| Item Description: | Gesehen am 05.06.2020 |
| Physical Description: | Online Resource |
| ISSN: | 2282-4197 |
| DOI: | 10.4081/aiua.2018.4.297 |