Child with Bilateral Pheochromocytoma and a Surgically Solitary Kidney: Anesthetic Challenges

Prabhu, Manjunath and Thomas, Joseph Tim and Shetty, Nanda and Chaudhuri, Souvik (2013) Child with Bilateral Pheochromocytoma and a Surgically Solitary Kidney: Anesthetic Challenges. Saudi Journal of Anaesthesia, 7 (2). pp. 197-199.

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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.

Item Type: Article
Uncontrolled Keywords: Adrenalectomy; Bilateral pheochromocytoma; Solitary kidney
Subjects: Medicine > KMC Manipal > Anaesthesiology
Depositing User: KMC Manipal
Date Deposited: 11 Feb 2014 11:19
Last Modified: 28 Apr 2014 05:27
URI: http://eprints.manipal.edu/id/eprint/138775

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