Undiagnosed Abdominal Paraganglioma: An Anaesthetic Challenge


Paragangliomas are tumours which arise in extra adrenal autonomic paraganglia and have the ability to secrete catecholamines. Their anaesthetic management is the same as that of a case of pheochromocytoma, but in an undiagnosed case like our patient, unexpected eventful encounter in the operating theatre may lead to life threatening complications during surgical resection warranting immediate management and thus posing a real challenge to the skill of an anaesthesiologist.

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L. Gupta, S. Kr. Nihalani, S. Tiwari, P. Bhadoria and S. Wadhawan, "Undiagnosed Abdominal Paraganglioma: An Anaesthetic Challenge," Open Journal of Anesthesiology, Vol. 3 No. 10, 2013, pp. 438-440. doi: 10.4236/ojanes.2013.310091.

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The authors declare no conflicts of interest.


[1] R. L. Hines and K. Marschall, “Stoelting’s Anaesthesia and Co-Existing Disease,” 5th Edition, Churchill Livingstone, Philadelphia, 2008, pp. 388-393.
[2] N. Kimura, C. Capella, R. R. De Krijger, L. D. R. Thompson, K. Y. Lam, P. Komminoth, A. S. Tischler and W. F. Young, “Extra-Adrenal Symphathetic Paraganglioma: Superior and Inferior Paraaortic,” In: R. A. DeLellis, R. V. Lloyd, P. U. Heitz and C. Eng, Eds., World Health Organization Classification of Tumours— Tumours of Endocrine Organs, IARC Press, Lyon, 2004, pp. 164-165.
[3] S. G. Sheps, N. S. Jiang, G. G. Klee, et al., “Recent developments in the diagnosis and treatment of pheochromocytoma,” Mayo Clinic Proceedings, Vol. 65, No. 1, 1990, pp. 88-95.
[4] M. T. Sanjoaquin, J. R. Fraile, A. Gutierrez, et al., “Hy- pertensive Crisis during a Transurethral Resection of the Bladder: Nondiagnosed Bladder Paraganglioma—A Case Report,” Anesthesia & Analgesia, Vol. 90, No. 3, 2000, pp. 556-558.
[5] M. Gmeiner and J. Pfeifer, “Extraadrenal Abdominal Paraganglia: A Therapeutical Challenge,” The Internet Journal of Surgery, Vol. 5, No. 1, 2004, p. 21.
[6] K. G. E. Pheochromocytoma, “Yao and Artusio’s Anesthesiology: Problem-Oriented Patient Management,” 5th Edition, Lippincott Williams & Wilkins, Lippincott, 2004, p. 716.
[7] C. K. Pandey, “Life Threatening Complications during Surgery in a Patient with Undiagnosed Abdominal Paraganglioma—A Case Report,” Indian Journal of Anaesthesia, Vol. 44, 2000, pp. 54-56.

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