Vasantha Kumar K. R1, Ushadevi R2, Aditi Prabhu3, Komala H. K4
Mediastinal masses can compress major airways, so patients with this condition should be evaluated carefully before subjecting them to anaesthesia. There have been many reports of hemodynamic and airway collapse induced by general anaesthesia in patients with an anterior mediastinal mass. Bronchial carcinoids which account for 0.5% to 2.5% of all the lung malignancies may have the unusual presentation of an anterior mediastinal mass. Carcinoid tumours pose a great challenge to the anaesthesiologists especially if carcinoid syndrome is present. We report the case of a 30-year-old gentleman who presented to us with persistent cough, diagnosed to have a large anterior mediastinal mass and was posted for debulking of the same. It was suspected to be a bronchial carcinoid intraoperatively and pneumonectomy was done and the histopathological diagnosis confirmed in the postoperative period.
