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KMID : 1147920190020020064
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Medical Biological Science and Engineering
2019 Volume.2 No. 2 p.64 ~ p.68
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Hypertensive crisis of a patient with undiagnosed paraganglioma
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Cho Kyu-Bum
Lee Jeong-Seok
Lee Jung-Ha
Yun Dae-Hun
Park Cheon-Hee
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Abstract
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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.
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KEYWORD
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Paraganglioma, Gastrointestinal stromal tumor, Pheochromocytoma, Anesthesia
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