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Tumour lysis syndrome developing during an operation
Author(s) -
Lee M. H.,
Cheng K. I.,
Jang R. C.,
Hsu J. H.,
Dai Z. K.,
Wu J. R.
Publication year - 2007
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2006.04873.x
Subject(s) - medicine , tumor lysis syndrome , laparotomy , resuscitation , intensive care unit , lymphoma , lysis , surgery , intensive care medicine , chemotherapy , immunology
Summary We describe an unusual case of tumour lysis syndrome in a child with a high‐grade lymphoma undergoing a staging laparotomy. The patient presented with a refractory ventricular arrhythmia, which required continuous resuscitation in the operating room and continuous venous‐venous haemodialysis in the intensive care unit. This case report suggests that surgery is a possible trigger for developing tumour lysis syndrome, so anaesthetists should be alert to this possibility during surgery in patients with pre‐existing high tumour burdens.