Adrenal Insufficiency in a Cancer Patient Presenting as Acute Hypotension During Induction of Anaesthesia

• Main Authors: Shilpi Singhal, Pushplata Gupta, Arun Agarwal, Nitin Khuteta, Anjum Khan
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2008-01-01
• Series: Indian Journal of Anaesthesia
• Subjects: Adrenal insufficiency/Addison′s disease; recurrent episodes of syncope; Synacthen test; Malignancy or chronic disease.
• Online Access: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=1;spage=85;epage=85;aulast=Singhal

A 54 year-old-male, a case of squamous cell carcinoma of right pyriform fossa, treated with radical radiotherapy & chemo-therapy in 2004, presented in January 2007, with difficulty in swallowing. He was diagnosed to have squamous cell carcinoma of upper third of oesophagus & surgery was planned. Patient had history of recurrent blackouts which were attributed to general-ized weakness and diarrhoea. During induction, he developed Hypotension & on evaluation, was diagnosed to have primary adrenal insufficiency.