Hypertensive crisis of a patient with undiagnosed paraganglioma

Kyu Bum Cho; Jeong Seok Lee; Jung Ha Lee; Dae Hun Yun; Cheon Hee Park

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자료유형: 학술저널

저자정보: Kyu Bum Cho (Department of Anesthesiology and Pain Medicine Kwangju Christian Hospital Gwangju Korea) Jeong Seok Lee (Department of Anesthesiology and Pain Medicine Kwangju Christian Hospital Gwangju Korea) Jung Ha Lee (Department of Anesthesiology and Pain Medicine Kwangju Christian Hospital Gwangju Korea) Dae Hun Yun (Department of Anesthesiology and Pain Medicine Kwangju Christian Hospital Gwangju Korea) Cheon Hee Park (Department of Anesthesiology and Pain Medicine Kwangju Christian Hospital Gwangju Korea)

저널정보: 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.2 No.2

발행연도: 2019.1

수록면: 64 - 68 (5page)

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Paragangilomas are uncommon catecholamine-secreting neuroendocrine tumors that derived from the autonomic nervous system. Patients with paraganglioma may develop cardiovascular complication such as severe hypertensive crisis during anesthesia or surgery. It can lead to a life threatening condition if undiagnosed preoperatively or not adequately prepared. Paragangiloma and gastrointestinal stromal tumors (GISTs) may have a similar radiographic appearance. If there are no histologic confirmation and clinical manifestation of catecholamine excess, paragangliomas may be mistaken of GISTs. We report the case of a 56-year-old woman who developed hypertensive crisis during anesthesia for GISTs excision.

#Paraganglioma #Gastrointestinal stromal tumor #Pheochromocytoma #Anesthesia

참고문헌 (19)

참고문헌 신청

Lee JA / 2008 / Sporadic paraganglioma / World J Surg 32:683~687

Koumaras CH / 2010 / Paraganglioma in a young patient with asymptomatic severe hypertension: a case report and review of the literature / Hippokratia 14:300~302

Somasundar P / 2000 / Paragangliomas-- a decade of clinical experience / J Surg Oncol 74:286~290

Renard J / 2011 / Pheochromocytoma and abdominal paraganglioma / J Visc Surg 148:e409~e416

Waguespack SG / 2010 / A current review of the etiology, diagnosis, and treatment of pediatric pheochromocytoma and paraganglioma / J Clin Endocrinol Metab 95:2023~2037

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