Anesthetic management of a giant mucinous cystadenoma of the
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Mucinous cystadenomas are benign tumors that arise on the surface epithelium of the ovary. These tumors would, in the past, often grow to huge sizes before they were diagnosed. However, it is rare to encounter such giant tumors in current surgical practices. Such giant tumors can cause significant morbidity and mortality owing to their size rather than their biology. Hemodynamic instability during surgery, respiratory compromise due to tumor size, and the fluid shift occurring due to rapid tumor decompression are all major anesthetic concerns. Though most of the times the case may proceed in an uneventful manner, overlooking a minute detail can give raise to serious complications. This article discusses the perioperative anaesthetic concerns and the management of a middle-aged lady diagnosed with a giant mucinous cystadenoma in her ovary...

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