Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma

Paul Potnuru; Isabela C. Saba; Brian M. Osman

doi:10.4103/IJCIIS.IJCIIS-82-18

Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma

Paul Potnuru, Isabela C. Saba, Brian M. Osman

Anesthesiology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.

Original language	English (US)
Pages (from-to)	144-146
Number of pages	3
Journal	International Journal of Critical Illness and Injury Science
Volume	9
Issue number	3
DOIs	https://doi.org/10.4103/IJCIIS.IJCIIS-82-18
State	Published - Jul 1 2019

Keywords

Hypertensive crisis
intraoperative emergency
pheochromocytoma
spinal anesthesia

ASJC Scopus subject areas

Emergency Medicine
Public Health, Environmental and Occupational Health
Critical Care and Intensive Care Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.4103/IJCIIS.IJCIIS-82-18

Cite this

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abstract = "Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.",

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AU - Osman, Brian M.

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N2 - Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.

AB - Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.

KW - Hypertensive crisis

KW - intraoperative emergency

KW - pheochromocytoma

KW - spinal anesthesia

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Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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