Anaesthetic Management of a Patient With a Giant Ovarian Tumour Containing 28 Litres of Ascitic Fluid
Abstract
We report the anaesthetic management of a 47-year-old woman scheduled for tumour resection of a giant ovarian tumour containing 28 litres of ascitic fluid. Her preoperative abdominal circumference was 186 cm due to massive ascites, and metabolic equivalents (METs) were less than 3.5. She was planned for cytoreductive surgery under general anaesthesia combined with epidural analgesia. Anaesthetic challenges included ventilatory management to maintain airway pressures, haemodynamic stability during massive fluid shifts, extensive monitoring, pre-induction epidural catheter placement, prevention of hypothermia, correction of metabolic or electrolyte derangements, and adequate postoperative pain relief.
Fields of Study & Subjects
Anesthesia and Sedative Agents
Ovarian cancer diagnosis and treatment
Airway Management and Intubation Techniques
Publication details
- Journal / source
- Cureus
- Volume
- 18
- Issue
- 1
- Pages
- e101824–e101824
- Publication date
- 19 January 2026
- Language
- EN