title: Child with bilateral pheochromocytoma and a surgically solitary kidney: Anesthetic challenges.
abstract: Pheochromocytoma is a rare neuroendocrine tumor of childhood. We present a 14-year-old boy with bilateral pheochromocytoma, post nephrectomy in view of a non-functioning kidney presenting with severe hypertension and end organ damage. Diagnosis was confirmed with 24-hour urinary VMA, catechol amines, and CT scan. Preoperative blood pressure (BP) was controlled with prazosin, propranolol, nicardipine, and HCT-spironolactone. Anesthesia was given with general endotracheal anesthesia with epidural analgesia. Intraoperative BP rise was managed with infusion of NTG, MgSO4, esmolol, and dexmedetomidine which was especially challenging on account of bilateral tumor.
authors: Department of Anesthesiology, Kasturba Medical College, Manipal, Karnataka, India.
authors: Manjunath
authors: M
authors: Prabhu
authors: Tim Thomas
authors: TT
authors: Joseph
authors: Nanda
authors: N
authors: Shetty
authors: Souvik
authors: S
authors: Chaudhuri
keywords: Adrenalectomy; bilateral pheochromocytoma; solitary kidney
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