Journal of Pediatric Surgery Case Reports (Nov 2021)
Retroperitoneal paraganglioma with hypertensive crisis during laparoscopic surgery
- Taichi Fukuzawa,
- Satoshi Yamaki,
- Masahiro Irie,
- Hideyuki Sasaki,
- Hironori Kudo,
- Megumi Nakamura,
- Ryo Ando,
- Ryuji Okubo,
- Yuki Endo,
- Masatoshi Hashimoto,
- Keisuke Tada,
- Yudai Nakajima,
- Kosuke Sato,
- Ryoma Endo,
- Hidekazu Aoki,
- Shimpei Kuniyoshi,
- Kazutomo Saito,
- Motoshi Wada
Affiliations
- Taichi Fukuzawa
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Satoshi Yamaki
- Department of Pediatric Surgery, Iwate Prefectural Central Hospital, 1-4-1, Ueda, Morioka-shi, Iwate, 020-0066, Japan
- Masahiro Irie
- Department of Pediatrics, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Hideyuki Sasaki
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Hironori Kudo
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Megumi Nakamura
- Department of Surgery, Miyagi Children's Hospital, 4-3-17, Ochiai, Aoba-ku, Sendai-shi, Miyagi, 989-3126, Japan
- Ryo Ando
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Ryuji Okubo
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Yuki Endo
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Masatoshi Hashimoto
- Department of Surgery, Miyagi Children's Hospital, 4-3-17, Ochiai, Aoba-ku, Sendai-shi, Miyagi, 989-3126, Japan
- Keisuke Tada
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Yudai Nakajima
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Kosuke Sato
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Ryoma Endo
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Hidekazu Aoki
- Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Shimpei Kuniyoshi
- Department of Pathology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Kazutomo Saito
- Department of Anesthesiology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan
- Motoshi Wada
- Department of Pediatric Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan; Corresponding author. 1-1, Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, 980-8574, Japan.
- Journal volume & issue
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Vol. 74
p. 102029
Abstract
Pheochromocytoma (PCC) and paraganglioma (PGL) are rare neuroendocrine tumors that arise from chromaffin cells. We report the case of an 11-year-old boy with no history of hypertension who presented with an abdominal mass arising from the retroperitoneum. During laparoscopic surgery, the patient developed a hypertensive crisis with a peak systolic blood pressure of over 270 mmHg, although we were able to continue to perform laparoscopic resection. Even if no concomitant symptoms due to catecholamine production are observed before surgery, as in this case, blood pressure may fluctuate during surgery. Intraoperative and postoperative management should be considered in cooperation with anesthesiologists.
