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

2 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

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10.4103/IJCIIS.IJCIIS-82-18

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title = "Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma",

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 - Saba, Isabela C.

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.

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KW - intraoperative emergency

KW - pheochromocytoma

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Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma

Abstract

Keywords

ASJC Scopus subject areas

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