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Diagnosis of cardiac tamponade with transesophageal echocardiography following the induction of anesthesia for suspected testicular torsion


1 Department of Anesthesiology, University of Pittsburgh Medical Center, PA, USA
2 School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
3 Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Correspondence Address:
Stephen M McHugh
Department of Anesthesiology, University of Pittsburgh Medical Center, Shadyside Hospital, Suite M205, 5230 Centre Ave., Pittsburgh, PA 15232
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.159828

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Year : 2015  |  Volume : 18  |  Issue : 3  |  Page : 449-452

 

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Transesophageal echocardiography (TEE) is a valuable tool for evaluating hemodynamic instability in patients under general anesthesia. We present the case of a 28-year-old man who presented with complaints of testicular pain concerning for testicular torsion. After induction of general anesthesia for scrotal exploration and possible orchiopexy, the patient developed severe and persistent hypotension. Using intraoperative TEE, the diagnosis of pericardial tamponade was made, and an emergent pericardial window was performed.






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1 Department of Anesthesiology, University of Pittsburgh Medical Center, PA, USA
2 School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
3 Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Correspondence Address:
Stephen M McHugh
Department of Anesthesiology, University of Pittsburgh Medical Center, Shadyside Hospital, Suite M205, 5230 Centre Ave., Pittsburgh, PA 15232
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.159828

Rights and Permissions

Transesophageal echocardiography (TEE) is a valuable tool for evaluating hemodynamic instability in patients under general anesthesia. We present the case of a 28-year-old man who presented with complaints of testicular pain concerning for testicular torsion. After induction of general anesthesia for scrotal exploration and possible orchiopexy, the patient developed severe and persistent hypotension. Using intraoperative TEE, the diagnosis of pericardial tamponade was made, and an emergent pericardial window was performed.






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