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Case Reports in Anesthesiology
Volume 2013, Article ID 596758, 4 pages
http://dx.doi.org/10.1155/2013/596758
Case Report

An Unusual Case of Sudden Collapse in the Immediate Postoperative Period in a Young Healthy Female with Myxofibroma of the Maxilla

1Department of Anesthesia and Intensive Care, G.B. Pant Hospital, E-269, East of Kailash, New Delhi, India
2Department of C.V.T.S, G.B. Pant Hospital, New Delhi, India

Received 18 June 2013; Accepted 10 July 2013

Academic Editors: C. Seefelder, D. A. Story, T. Suzuki, and J.-J. Yang

Copyright © 2013 Manila Singh and Saket Singh. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Benign myxofibromas of heart are well known to cause systemic inflammatory mediator release causing multiple complications ranging from fever and widespread effusions to DIC and shock. We report that in a particular case of maxillary myxofibroma, a shock-like state and widespread serous cavities effusion presented in the immediate postoperative period. The occurrence was possibly due to release of inflammatory mediators by the tumour, disseminated during tumour resection causing diffuse capillary leak, precipitated by fluid resuscitation, leading to decrease in plasma oncotic pressure.