title: Tumour lysis syndrome developing during an operation.
abstract: 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.
authors.affiliation: Department of Paediatrics, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung 807, Taiwan.
authors.forename: M H
authors.initials: MH
authors.lastname: Lee
authors.forename: K I
authors.initials: KI
authors.lastname: Cheng
authors.forename: R C
authors.initials: RC
authors.lastname: Jang
authors.forename: J H
authors.initials: JH
authors.lastname: Hsu
authors.forename: Z K
authors.initials: ZK
authors.lastname: Dai
authors.forename: J R
authors.initials: JR
authors.lastname: Wu
mesh_terms: D000005:Abdomen; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000628:therapy; D002648:Child; D006352:Heart Ventricles; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000628:therapy; D007813:Laparotomy / Q000009:adverse effects; D008228:Lymphoma, Non-Hodgkin / Q000473:pathology / Q000601:surgery*; D008297:Male; D010388:Pelvis; D006435:Renal Dialysis / Q000379:methods; D016896:Treatment Outcome; D015275:Tumor Lysis Syndrome / Q000209:etiology* / Q000628:therapy