Challenges in Anaesthesia Management of a 15-Year-Old Female With Ovarian Teratoma for Exploratory Laparotomy: A Case Report
Rarely, an ovarian tumour will develop the growing teratoma syndrome. Growing teratoma syndrome of the cystic type has been linked to difficulties with anaesthesia because of the abdominal pressure the tumour exerts on the thorax. There haven't been any reports of this kind of ovarian tumour as...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2022-09, Vol.14 (9) |
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| creator | Dash, Sambit Ninave, Sanjot Bele, Amol Movva, Haneesha Sonkusale, Manish |
| description | Rarely, an ovarian tumour will develop the growing teratoma syndrome. Growing teratoma syndrome of the cystic type has been linked to difficulties with anaesthesia because of the abdominal pressure the tumour exerts on the thorax. There haven't been any reports of this kind of ovarian tumour associated with ascites and bilateral pleural effusion in a paediatric age group. Here, we describe our anaesthetic experience in a case of developing solid-type ovarian teratoma syndrome with deranged lung status and haemodynamics.The patient was a 15-year-old female who was diagnosed with ovarian teratoma. She was scheduled for surgery when she arrived at our hospital with a 13 cm solid mass and respiratory distress. The patient's liver profile was abnormal; she had ascites, pleural effusion and a severely worsened lung condition. The patient was planned for an exploratory laparotomy and debulking surgery after preoperative optimisation. To prevent the re-expansion pulmonary oedema (RPO) following the excision of the tumour, a volume-restricted postoperative ventilation strategy was planned. Following enhanced recovery after surgery (ERAS) protocol and specific anaesthetic measures, we successfully managed the anaesthesia in a case of teratoma syndrome with a large abdominal tumour with successful recovery and early discharge from hospital. |
| doi_str_mv | 10.7759/cureus.29175 |
| format | Article |
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Growing teratoma syndrome of the cystic type has been linked to difficulties with anaesthesia because of the abdominal pressure the tumour exerts on the thorax. There haven't been any reports of this kind of ovarian tumour associated with ascites and bilateral pleural effusion in a paediatric age group. Here, we describe our anaesthetic experience in a case of developing solid-type ovarian teratoma syndrome with deranged lung status and haemodynamics.The patient was a 15-year-old female who was diagnosed with ovarian teratoma. She was scheduled for surgery when she arrived at our hospital with a 13 cm solid mass and respiratory distress. The patient's liver profile was abnormal; she had ascites, pleural effusion and a severely worsened lung condition. The patient was planned for an exploratory laparotomy and debulking surgery after preoperative optimisation. To prevent the re-expansion pulmonary oedema (RPO) following the excision of the tumour, a volume-restricted postoperative ventilation strategy was planned. Following enhanced recovery after surgery (ERAS) protocol and specific anaesthetic measures, we successfully managed the anaesthesia in a case of teratoma syndrome with a large abdominal tumour with successful recovery and early discharge from hospital.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.29175</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Abdomen ; Anesthesia ; Anesthesiology ; Ascites ; Auscultation ; Blood pressure ; Blood products ; Cancer ; Case reports ; Catheters ; Dyspnea ; Edema ; Epidural ; Females ; Gynecology ; Hemodynamics ; Laparotomy ; Medical prognosis ; Obstetrics/Gynecology ; Oncology ; Ovarian cancer ; Ovaries ; Oxygen saturation ; Pediatrics ; Pleural effusion ; Recovery (Medical) ; Surgery ; Thorax ; Tumors ; Ultrasonic imaging</subject><ispartof>Curēus (Palo Alto, CA), 2022-09, Vol.14 (9)</ispartof><rights>Copyright © 2022, Dash et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2022, Dash et al. 2022 Dash et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c243t-d86da45c4091240739a2c3d38e41c0629c8104690f1f172ff729c7df91801ad93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9573206/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9573206/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Dash, Sambit</creatorcontrib><creatorcontrib>Ninave, Sanjot</creatorcontrib><creatorcontrib>Bele, Amol</creatorcontrib><creatorcontrib>Movva, Haneesha</creatorcontrib><creatorcontrib>Sonkusale, Manish</creatorcontrib><title>Challenges in Anaesthesia Management of a 15-Year-Old Female With Ovarian Teratoma for Exploratory Laparotomy: A Case Report</title><title>Curēus (Palo Alto, CA)</title><description>Rarely, an ovarian tumour will develop the growing teratoma syndrome. Growing teratoma syndrome of the cystic type has been linked to difficulties with anaesthesia because of the abdominal pressure the tumour exerts on the thorax. There haven't been any reports of this kind of ovarian tumour associated with ascites and bilateral pleural effusion in a paediatric age group. Here, we describe our anaesthetic experience in a case of developing solid-type ovarian teratoma syndrome with deranged lung status and haemodynamics.The patient was a 15-year-old female who was diagnosed with ovarian teratoma. She was scheduled for surgery when she arrived at our hospital with a 13 cm solid mass and respiratory distress. The patient's liver profile was abnormal; she had ascites, pleural effusion and a severely worsened lung condition. The patient was planned for an exploratory laparotomy and debulking surgery after preoperative optimisation. To prevent the re-expansion pulmonary oedema (RPO) following the excision of the tumour, a volume-restricted postoperative ventilation strategy was planned. Following enhanced recovery after surgery (ERAS) protocol and specific anaesthetic measures, we successfully managed the anaesthesia in a case of teratoma syndrome with a large abdominal tumour with successful recovery and early discharge from hospital.</description><subject>Abdomen</subject><subject>Anesthesia</subject><subject>Anesthesiology</subject><subject>Ascites</subject><subject>Auscultation</subject><subject>Blood pressure</subject><subject>Blood products</subject><subject>Cancer</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Dyspnea</subject><subject>Edema</subject><subject>Epidural</subject><subject>Females</subject><subject>Gynecology</subject><subject>Hemodynamics</subject><subject>Laparotomy</subject><subject>Medical prognosis</subject><subject>Obstetrics/Gynecology</subject><subject>Oncology</subject><subject>Ovarian cancer</subject><subject>Ovaries</subject><subject>Oxygen saturation</subject><subject>Pediatrics</subject><subject>Pleural effusion</subject><subject>Recovery (Medical)</subject><subject>Surgery</subject><subject>Thorax</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpVUV1LwzAULaLgmHvzBwR8tTNJP9L4IIyxqTAZyER8Ctf2Zu1om5q0w4E_3s4N0af7cQ7nfhzPu2R0LEQkb9LOYufGXDIRnXgDzuLET1gSnv7Jz72RcxtKKaOCU0EH3tc0h7LEeo2OFDWZ1ICuzdEVQJ6ghjVWWLfEaAKERf4bgvWXZUbmWEGJ5LVoc7Lcgi2gJiu00JoKiDaWzD6b0uxruyMLaMCaHtrdkgmZgkPyjI2x7YV3pqF0ODrGofcyn62mD_5ief84nSz8lIdB62dJnEEYpSGVjIdUBBJ4GmRBgiFLacxlmjAaxpJqppngWou-JTItWUIZZDIYencH3aZ7rzBL-5MslKqxRQV2pwwU6j9SF7lam62SkQg4jXuBq6OANR9d_yG1MZ2t-50VFwENJWcR71nXB1ZqjXMW9e8ERtXeI3XwSP14FHwDG4qGSA</recordid><startdate>20220914</startdate><enddate>20220914</enddate><creator>Dash, Sambit</creator><creator>Ninave, Sanjot</creator><creator>Bele, Amol</creator><creator>Movva, Haneesha</creator><creator>Sonkusale, Manish</creator><general>Cureus Inc</general><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20220914</creationdate><title>Challenges in Anaesthesia Management of a 15-Year-Old Female With Ovarian Teratoma for Exploratory Laparotomy: A Case Report</title><author>Dash, Sambit ; Ninave, Sanjot ; Bele, Amol ; Movva, Haneesha ; Sonkusale, Manish</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c243t-d86da45c4091240739a2c3d38e41c0629c8104690f1f172ff729c7df91801ad93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Anesthesia</topic><topic>Anesthesiology</topic><topic>Ascites</topic><topic>Auscultation</topic><topic>Blood pressure</topic><topic>Blood products</topic><topic>Cancer</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Dyspnea</topic><topic>Edema</topic><topic>Epidural</topic><topic>Females</topic><topic>Gynecology</topic><topic>Hemodynamics</topic><topic>Laparotomy</topic><topic>Medical prognosis</topic><topic>Obstetrics/Gynecology</topic><topic>Oncology</topic><topic>Ovarian cancer</topic><topic>Ovaries</topic><topic>Oxygen saturation</topic><topic>Pediatrics</topic><topic>Pleural effusion</topic><topic>Recovery (Medical)</topic><topic>Surgery</topic><topic>Thorax</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dash, Sambit</creatorcontrib><creatorcontrib>Ninave, Sanjot</creatorcontrib><creatorcontrib>Bele, Amol</creatorcontrib><creatorcontrib>Movva, Haneesha</creatorcontrib><creatorcontrib>Sonkusale, Manish</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dash, Sambit</au><au>Ninave, Sanjot</au><au>Bele, Amol</au><au>Movva, Haneesha</au><au>Sonkusale, Manish</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Challenges in Anaesthesia Management of a 15-Year-Old Female With Ovarian Teratoma for Exploratory Laparotomy: A Case Report</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2022-09-14</date><risdate>2022</risdate><volume>14</volume><issue>9</issue><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Rarely, an ovarian tumour will develop the growing teratoma syndrome. Growing teratoma syndrome of the cystic type has been linked to difficulties with anaesthesia because of the abdominal pressure the tumour exerts on the thorax. There haven't been any reports of this kind of ovarian tumour associated with ascites and bilateral pleural effusion in a paediatric age group. Here, we describe our anaesthetic experience in a case of developing solid-type ovarian teratoma syndrome with deranged lung status and haemodynamics.The patient was a 15-year-old female who was diagnosed with ovarian teratoma. She was scheduled for surgery when she arrived at our hospital with a 13 cm solid mass and respiratory distress. The patient's liver profile was abnormal; she had ascites, pleural effusion and a severely worsened lung condition. The patient was planned for an exploratory laparotomy and debulking surgery after preoperative optimisation. To prevent the re-expansion pulmonary oedema (RPO) following the excision of the tumour, a volume-restricted postoperative ventilation strategy was planned. Following enhanced recovery after surgery (ERAS) protocol and specific anaesthetic measures, we successfully managed the anaesthesia in a case of teratoma syndrome with a large abdominal tumour with successful recovery and early discharge from hospital.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><doi>10.7759/cureus.29175</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Anesthesia Anesthesiology Ascites Auscultation Blood pressure Blood products Cancer Case reports Catheters Dyspnea Edema Epidural Females Gynecology Hemodynamics Laparotomy Medical prognosis Obstetrics/Gynecology Oncology Ovarian cancer Ovaries Oxygen saturation Pediatrics Pleural effusion Recovery (Medical) Surgery Thorax Tumors Ultrasonic imaging |
| title | Challenges in Anaesthesia Management of a 15-Year-Old Female With Ovarian Teratoma for Exploratory Laparotomy: A Case Report |
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