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

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

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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

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All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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