Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)144-146
Number of pages3
JournalInternational Journal of Critical Illness and Injury Science
Volume9
Issue number3
DOIs
StatePublished - Jul 1 2019
Externally publishedYes

Fingerprint

Spinal Anesthesia
Pheochromocytoma
Hemodynamics
Hypotension
General Anesthesia
Anesthetics
Differential Diagnosis
Morbidity
Mortality
Neoplasms

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

Cite this

Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma. / Potnuru, Paul; Saba, Isabela C.; Osman, Brian M.

In: International Journal of Critical Illness and Injury Science, Vol. 9, No. 3, 01.07.2019, p. 144-146.

Research output: Contribution to journalArticle

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