TY - JOUR AU - Heinze, Alexander AU - Nikomanis, Periklis AU - Petzold, Ferdinand AU - Rassweiler, Jens Jochen AU - Goezen, Ali Serdar PY - 2019/01/17 Y2 - 2024/03/29 TI - Undiagnosed paraganglioma; A challenge during laparoscopic retroperitoneal resection JF - Archivio Italiano di Urologia e Andrologia JA - Arch Ital Urol Androl VL - 90 IS - 4 SE - Case Reports DO - 10.4081/aiua.2018.4.297 UR - https://www.pagepressjournals.org/aiua/article/view/aiua.2018.4.297 SP - 297-298 AB - <p>Objective: Report our experience of the management of a patient with undiagnosed retroperitoneal paraganglioma and the intraoperative complications that the theatre team faced. <br>Case report: We present a case of a 36-year-old patient who during oncological follow-up for a previous diagnosis of parotid acinar cell carcinoma was incidentally identified as having an interaortocaval tumour. Following routine preoperative assessment the patient was arranged to undergo a laparoscopic retroperitoneal tumour resection. After minimal tumour manipulation the patient developed cardiac rhythm abnormalities and became hypertensive. The tumour was successfully removed laparoscopically after a cautious inter- aortocaval dissection. Abruptly, prior to extraction of the tumour containing endobag, the patient developed cardiac arrest. Following 35 minutes of life support measures there was a return of spontaneous circulation. The endobag was laparoscopically removed from the abdominal cavity 24 hours later using the initial operative port sites. The patient´s progression was satisfactory and he could be discharged six days postoperatively. <br>Conclusions: Asymptomatic undiagnosed paragangliomas represent a real challenge during laparoscopic operations. Haemodynamic changes and life-threatening events can arise acutely intraoperatively, where an immediate and coordinated response of the whole theatre team may be required to avoid fatal outcome.</p> ER -