Abdominal paraaortic paraganglioma: Management of intraoperative hemodynamic emergencies during elective resection procedures (A case presentation)

  • Authors:
    • Ovidiu Stiru
    • Anca Dragan
    • Cristina Adamache
    • Petru Razvan Dragulescu
    • Carmen Stiru
    • Adrian Tulin
    • Nicolae Bacalbasa
    • Irina Balescu
    • Camelia Diaconu
    • Roxana Carmen Geana
    • Cornel Savu
    • Vlad Anton Iliescu
  • View Affiliations

  • Published online on: March 23, 2021     https://doi.org/10.3892/etm.2021.9975
  • Article Number: 543
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Abstract

Paragangliomas are extremely rare neuroendocrine tumors. We report a case of a 44‑year‑old man with hypertension who presented a tumoral mass located retroperitoneally at the aortic bifurcation which included both the common iliac arteries and the posterior left iliac vein, who experienced an unpredictable intraoperative cardiac arrest with electromechanical dissociation at 5 min after laparotomy. After successful resuscitation and hemodynamic stability, the lesion was fully excised. In the course of tumor manipulation, the patient developed a major hypertensive crisis with peak systolic blood pressure over 280 mmHg. Pathologic examination revealed the presence of diffuse proliferation of large and medium‑sized mature adipocytes consistent with paraganglioma diagnosis. The patient was discharged at home on the seventh postoperative day. He did not present evidence of recurrence at the one‑year follow‑up. In conclusion, paragangliomas can require particular management due to their location but also due to their capacity to discharge substances which might induce life‑threatening intraoperative complications.
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May-2021
Volume 21 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Stiru O, Dragan A, Adamache C, Dragulescu PR, Stiru C, Tulin A, Bacalbasa N, Balescu I, Diaconu C, Geana RC, Geana RC, et al: Abdominal paraaortic paraganglioma: Management of intraoperative hemodynamic emergencies during elective resection procedures (A case presentation). Exp Ther Med 21: 543, 2021
APA
Stiru, O., Dragan, A., Adamache, C., Dragulescu, P.R., Stiru, C., Tulin, A. ... Iliescu, V.A. (2021). Abdominal paraaortic paraganglioma: Management of intraoperative hemodynamic emergencies during elective resection procedures (A case presentation). Experimental and Therapeutic Medicine, 21, 543. https://doi.org/10.3892/etm.2021.9975
MLA
Stiru, O., Dragan, A., Adamache, C., Dragulescu, P. R., Stiru, C., Tulin, A., Bacalbasa, N., Balescu, I., Diaconu, C., Geana, R. C., Savu, C., Iliescu, V. A."Abdominal paraaortic paraganglioma: Management of intraoperative hemodynamic emergencies during elective resection procedures (A case presentation)". Experimental and Therapeutic Medicine 21.5 (2021): 543.
Chicago
Stiru, O., Dragan, A., Adamache, C., Dragulescu, P. R., Stiru, C., Tulin, A., Bacalbasa, N., Balescu, I., Diaconu, C., Geana, R. C., Savu, C., Iliescu, V. A."Abdominal paraaortic paraganglioma: Management of intraoperative hemodynamic emergencies during elective resection procedures (A case presentation)". Experimental and Therapeutic Medicine 21, no. 5 (2021): 543. https://doi.org/10.3892/etm.2021.9975