Pheochromocytoma: Urgent surgery Vs scheduled surgery.
DOI:
https://doi.org/10.30445/rear.v12i10.861Keywords:
Pheochromocytoma, anesthesia, hypertensive crisisAbstract
Pheochromocytoma is a chromaffin cell tumor preferentially located in the abdominal cavity and in particular in the adrenal gland. Clinically it can be asymptomatic or present with a wide variety of symptoms, given its ability to secrete catecholamines, such as high blood pressure as well as the classic triad of headache, hyperhidrosis and tachycardia. Moreover, we present a clinical case of a male patient, 24 years old, who debuts with loss of strength in right limbs after hypertensive crisis and hematoma in basal ganglion, which must be intervened desperately under the suspicion of pheochromocytoma tumor, with subsequent diagnosis, presurgical preparation and scheduled surgery.
References
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https://www-uptodate-com.m-hdoct.a17.csinet.es/contents/anesthesia-for-the-adult-with-pheochromocytoma/abstract/43
- Weingarten TN, Welch TL, Moore TL, et al. Preoperative Levels of Catecholamines and Metanephrines and Intraoperative Hemodynamics of Patients Undergoing Pheochromocytoma and Paraganglioma Resection. Urology 2017; 100:131.
https://www-uptodate-com.m-hdoct.a17.csinet.es/contents/anesthesia-for-the-adult-with-pheochromocytoma/abstract/44
- Wu S, Chen W, Shen L, et al. Risk factors for prolonged hypotension in patients with pheochromocytoma undergoing laparoscopic adrenalectomy: a single-center retrospective study. Sci Rep 2017; 7:5897.
- Fleisher L, Mythen M. Anesthetic implications of concurrent diseases. In: Miller's Anesthesia, 8th ed, Miller RD, Cohen NH, Eriksson LI, et al (Eds), Elsevier, Philadelphia 2015. p.1170.
- Benowitz NL. Pheochromocytoma-recent advances in diagnosis and treatment. West J Med. 1988;148:561–7.
- Ahmed A. Perioperative Management of Pheochromocytoma: Anaesthetic Implications. J Pak Med Association. 2007;57 :3.
- Hayıroğlu M, Yıldırımtürk O, Bozbay M. Hypertensive emergency due to pheochromocytoma crisis complicated with refractory hemodynamic collapse. Turk Kardiyol Dern Ars 2015;43(8):727-729.
- Kakoki1 K, Miyata1 Y, Shida1 Y, Hakariya1 T. Pheochromocytoma multisystem crisis treated with emergency surgery: a case report and literature review. 2015 8: 758.
- Abhijit L, Lakireddy V. A Narrative Review of Cardiovascular Abnormalities After Spontaneous Intracerebral Hemorrhage. Jorney of Neurosurgery Anesthesiology 2019;31:199–21.
- Jean L. Joris, M, Etienne E, Hamoir, MD. Hemodynamic Changes and Catecholamine Release During Laparoscopic Adrenalectomy for Pheochromocytoma. Anesthesia and Analgesia. 1999;88:16–21.
- Kercher KW, Novitsky YW, Park A. Laparoscopic curative resection of phochromocytomas. Ann Surg 2005; 241:919.
- Rocha F, Faramazi – Roques R. Laparoscopic surgery for pheochromocytoma. Eur Urol 2004; 45: 226.
- Cenic A, Craen RA, Lee TY, Gelb AW. Cerebral blood volume and blood flow responses to hyperventilation in brain tumors during isoflurane or propofol anesthesia. Anesth Analg 2002; 94:661.
- Houston M: The role of magnesium in hypertension and cardiovascular disease. J Clin Hypertens (Greenwich) 13:843-847, 2011.
- Michael S. Perioperative Management of Pheochromocytoma: Focus on magnesium, clevidipine and vasopressin. Jornal of Cardiothoracic and vascular anesthesia. 202; 26: 526-531.
- Siddiqi HK, Yang HY, Laird AM, et al. Utility of oral nicardipine and magnesium sulfate infusion during preparation and resection of pheochromocytomas. Surgery 2012; 152:1027.
- Naranjo J, Dodd S, Martin YN. Perioperative Management of Pheochromocytoma. J Cardiothorac Vasc Anesth 2017; 31:1427.
https://www-uptodate-com.m-hdoct.a17.csinet.es/contents/anesthesia-for-the-adult-with-pheochromocytoma/abstract/43
- Weingarten TN, Welch TL, Moore TL, et al. Preoperative Levels of Catecholamines and Metanephrines and Intraoperative Hemodynamics of Patients Undergoing Pheochromocytoma and Paraganglioma Resection. Urology 2017; 100:131.
https://www-uptodate-com.m-hdoct.a17.csinet.es/contents/anesthesia-for-the-adult-with-pheochromocytoma/abstract/44
- Wu S, Chen W, Shen L, et al. Risk factors for prolonged hypotension in patients with pheochromocytoma undergoing laparoscopic adrenalectomy: a single-center retrospective study. Sci Rep 2017; 7:5897.
- Fleisher L, Mythen M. Anesthetic implications of concurrent diseases. In: Miller's Anesthesia, 8th ed, Miller RD, Cohen NH, Eriksson LI, et al (Eds), Elsevier, Philadelphia 2015. p.1170.
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Published
2020-11-11
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Navarro Lago, P., Fernández García, A., & Levstek, M. (2020). Pheochromocytoma: Urgent surgery Vs scheduled surgery. Revista Electrónica AnestesiaR, 12(10). https://doi.org/10.30445/rear.v12i10.861
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