S. Engineer, K. Patel, Labdhi P. Lakhani, J. K. Arivazhagan
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“Anesthetic Management of Rare Case of Lung and Liver Hydatid Cyst with Bilateral Pheochromocytoma” – A Case Report
Hydatidosis is a parasitic infection caused by the encysted larvae of Echinococcus granulosus known as hydatid cyst. It involves almost all organs. However, it affects liver (55–70%) followed by lungs (18–35%). Pheochromocytoma is a catecholamine secreting tumor that typically occurs in patients of 30–50 years age. Pheochromocytoma represents very significant challenges to the anesthetist. A 48-year-old male patient presented with dyspnea, cough, weakness, chest, and abdominal pain. Clinical examination and investigations revealed hydatid cyst of right lung and right lobe of liver. Accident findings on computed tomography scan abdomen were bilateral suprarenal mass. The patient was scheduled for excision of hydatid cyst of liver, lung, and excision of bilateral suprarenal tumor. The anesthetic technique used was general anaesthesia with epidural analgesia. During thoracotomy, one lung anesthesia was done with double lumen endotracheal tube.