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

Manjunath Prabhu, Tim Thomas Joseph, Nanda Shetty, Souvik Chaudhuri

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)197-199
Number of pages3
JournalSaudi Journal of Anaesthesia
Volume7
Issue number2
DOIs
Publication statusPublished - 01-04-2013
Externally publishedYes

Fingerprint

Pheochromocytoma
Anesthetics
Endotracheal Anesthesia
Blood Pressure
Dexmedetomidine
Kidney
Nicardipine
Spironolactone
Epidural Analgesia
Neuroendocrine Tumors
Prazosin
Nephrectomy
Propranolol
General Anesthesia
Amines
Anesthesia
Hypertension
Neoplasms
esmolol
catechol

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Prabhu, Manjunath ; Joseph, Tim Thomas ; Shetty, Nanda ; Chaudhuri, Souvik. / Child with bilateral pheochromocytoma and a surgically solitary kidney : Anesthetic challenges. In: Saudi Journal of Anaesthesia. 2013 ; Vol. 7, No. 2. pp. 197-199.
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Child with bilateral pheochromocytoma and a surgically solitary kidney : Anesthetic challenges. / Prabhu, Manjunath; Joseph, Tim Thomas; Shetty, Nanda; Chaudhuri, Souvik.

In: Saudi Journal of Anaesthesia, Vol. 7, No. 2, 01.04.2013, p. 197-199.

Research output: Contribution to journalArticle

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