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Case Reports in Anesthesiology
Volume 2017 (2017), Article ID 5796409, 4 pages
https://doi.org/10.1155/2017/5796409
Case Report

An Undiagnosed Paraganglioma in a 58-Year-Old Female Who Underwent Tumor Resection

1Department of Anesthesiology, Duke University Medical Center, Box 3823, Durham, NC 27710, USA
2Critical Care Medicine, Department of Anesthesiology, Duke University Medical Center, Box 3823, Durham, NC 27710, USA
3General, Vascular, Transplant Division, Department of Anesthesiology, Duke University Medical Center, Box 3823 Durham, NC 27710, USA

Correspondence should be addressed to William C. Fox; ude.ekud.md@xof.c.mailliw

Received 17 June 2017; Accepted 18 September 2017; Published 15 October 2017

Academic Editor: Maurizio Marandola

Copyright © 2017 William C. Fox et al. 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

Paragangliomas and pheochromocytomas are rare neuroendocrine tumors that can have high morbidity and mortality if undiagnosed. Here we report a case of an undiagnosed paraganglioma in a 58-year-old female who underwent tumor resection. The patient became severely hypertensive intraoperatively with paroxysmal swings in blood pressure and then later became acutely hypotensive after tumor removal. She was managed in the surgical intensive care unit (SICU) postoperatively and discharged from the hospital without acute complications. We briefly discuss the epidemiology, clinical presentation, perioperative management, and possible complications of these tumors to assist healthcare providers if one were to encounter them.