Child with bilateral pheochromocytoma and a surgically solitary kidney: Anesthetic challenges

Saudi Journal of Anaesthesia

关键词: Adrenalectomy;    bilateral pheochromocytoma;    solitary kidney;   

DOI  :  10.4103/1658-354X.114051

来源: DOAJ

【 摘 要 】

Pheochromocytoma is a rare neuroendocrine tumor of childhood. We present a 14-year-old boy with bilateral pheochromocytoma, post nephrectomy in view of a non-functioning kidney presenting with severe hypertension and end organ damage. Diagnosis was confirmed with 24-hour urinary VMA, catechol amines, and CT scan. Preoperative blood pressure (BP) was controlled with prazosin, propranolol, nicardipine, and HCT-spironolactone. Anesthesia was given with general endotracheal anesthesia with epidural analgesia. Intraoperative BP rise was managed with infusion of NTG, MgSO4, esmolol, and dexmedetomidine which was especially challenging on account of bilateral tumor.

【 授权许可】

Unknown