Anaesthetic Management of an Adult Patient with Diaphragmatic Eventration

This case report presents the anaesthetic management of an adult male, who had epidermal inclusion cyst of neck with incidental findings of diaphragmatic eventration, dextro position of heart and pituitary macro adenoma, but the patient was clinically asymptomatic, planned for neck exploration and excision of cyst. Induction of anaesthesia was uneventful, Intra operatively patient became hypoxic and hypotensive probably due to increase in shunting fraction, norepinephrine infusion was started; blood pressure and oxygen saturation improved, at the end of surgery patient was successfully extubated, rest of the course was unremarkable.