Coexistence of Suprasellar Lesion and Pulmonary Congestion: Two Rare Cases and Literature Review

Abstract

Background:The characteristics of sellar/suprasellar lesion are endocrine disturbance, obesity and sleepiness disorder. However coexistence suprasellar lesion with pulmonary congestion is extremely rarely reported. Case presentation:Two cases in the present report included typical traits of sellar/ suprasellar tumor, besides they were identified preoperative pulmonary congestion by chest computer tomography. Abnormal hormone level accompanying with obesity induced and accelerated preoperative pulmonary congestion. Because coexistence of sellar/suprasellar lesion with pulmonary congestion is very rare, we confirmed the ultra-rare cases by literature reviewing. Conclusion:Implementation of general anesthesia to patients with sellar/ suprasellar lesion is a challenge to every anesthesiologist due to their complex pathophysiological changes. Occurrence of pulmonary congestion increases extra burden to anesthesiologists. Because ignorance of the accompanying pulmonary congestion might produce irretrievable disaster, the importance of preoperative evaluation and makeup of anesthesia plan should be stressed. Additional, the diagnosis of the second case was Erdheim-Chester disease, a very rare disease in children. This was the forth youngest case of this disease reported by searching PubMed and PMC.