Perioperative Management of a Massive Desmoid Tumor Resection in a Pediatric Patient

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Conference Proceeding - Restricted Access

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We present a case of a 10-year-old male with a PMH significant for Gardner Syndrome who presented for initial staged resection of a giant desmoid tumor extending across the entirety of his back. Preoperative imaging demonstrated both extrathoracic and intrathoracic tumor extension. Intraoperatively, the patient required hemodynamic fluid and vasopressor support for hypotension. Post-operatively, the patient became hypoxic following extubation requiring bag-valve-mask ventilatory support and high flow oxygen. Cardiac insufficiency also persisted with the patient supine requiring continued vasopressor support. We discuss perioperative considerations for this pediatric malignancy as it relates to respiratory compromise, hemodynamic instability, and anesthetic management.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.