TY - JOUR
T1 - Child with bilateral pheochromocytoma and a surgically solitary kidney
T2 - Anesthetic challenges
AU - Prabhu, Manjunath
AU - Joseph, Tim Thomas
AU - Shetty, Nanda
AU - Chaudhuri, Souvik
PY - 2013/4/1
Y1 - 2013/4/1
N2 - 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.
AB - 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.
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U2 - 10.4103/1658-354X.114051
DO - 10.4103/1658-354X.114051
M3 - Article
AN - SCOPUS:84880259196
SN - 1658-354X
VL - 7
SP - 197
EP - 199
JO - Saudi Journal of Anaesthesia
JF - Saudi Journal of Anaesthesia
IS - 2
ER -