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) |
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Pages (from-to) | 144-146 |
Number of pages | 3 |
Journal | International Journal of Critical Illness and Injury Science |
Volume | 9 |
Issue number | 3 |
DOIs | |
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