Journal of Medical and Surgical Intensive Care Medicine 2011 , Vol 2, Issue 1
Tumour Lysis Syndrome Developing After Diagnostic Tonsillectomy
İ. Aydın Erden 1 , Seda B. Akıncı 1 , Nalan Çelebi 1 , Hüseyin C. Turgut 1 , Varol Çeliker 1 , Ülkü Aypar 1
1Hacettepe Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye DOI : 10.5152/dcbybd.2011.06

Here we report a patient who developed tumour lysis syndrome following a diagnostic tonsillectomy for suspected lymphoma. Following anesthesia induction, the patient suffered cardiopulmonary arrest, which required cardiopulmonary resuscitation. After successful resuscitation, the operation ended and the patient was transported to the intensive care unit. The patient’s clinical course was diagnosed as tumor lysis syndrome due to documented clinical and laboratory parameters. This case report suggests that the development of tumour lysis syndrome is a consequence of  several stressful conditions that are significantly associated with each other, and management should focus on prophylactic options, careful monitorization and treatment of clinical and laboratory abnormalities. 

Keywords : Diagnostic tonsillectomy, lymphoma, general anesthesia, tumour lysis syndrome, acute renal failure