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Hypertensive crisis of a patient with undiagnosed paraganglioma
Med Biol Sci Eng 2019;2(2):64-68
Published online July 31, 2019
© 2019 Medical Biological Science and Engineering.

Kyu Bum Cho, Jeong Seok Lee, Jung Ha Lee, Dae Hun Yun, Cheon Hee Park

Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, Gwangju, Korea
Correspondence to: Cheon Hee Park
Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, 37, Yangnim-ro, Nam-gu, Gwangju 61661, Korea
Tel: +82-62-650-5150
Fax: + 82-62-650-5381
E-mail: jkb6257@naver.com
ORCID: https://orcid.org/0000-0001-7986-8416
Received May 30, 2019; Revised June 3, 2019; Accepted June 5, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords : Paraganglioma; Gastrointestinal stromal tumor; Pheochromocytoma; Anesthesia
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