Excision of a suspected retroperitoneal, duodenal duplication cyst was performed in a pre-operatively normotensive patient under combined epidural and general anaesthesia.Intraoperatively, the cystic tumour was discovered to Dryer Fan be a retroperitoneal mass, free from duodenal or adrenal origin.Development of severe arrhythmias, ST segment changes and hypertensive spikes during cyst handling and dissection suggested the possibility of Siemens BF525LMS0B IQ-500 800 Watt Microwave Built In Stainless Steel a catecholamine-secreting tumour.These were managed effectively with pharmacological agents.Subsequently, histopathology of the specimen revealed a paraganglioma.
Vasoactive tumour has to be suspected in every patient undergoing anaesthesia for retroperitoneal cystic lesion.