Tumour lysis syndrome developing during an operation.
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.
Lee
M H
MH
Department of Paediatrics, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung 807, Taiwan.
Cheng
K I
KI
Jang
R C
RC
Hsu
J H
JH
Dai
Z K
ZK
Wu
J R
JR
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