title: Anaesthetic management of previously non-diagnosed phaeochromocytoma: Clinical vigilance, the ultimate saviour of anaesthesiologist.
abstract: A 39-year-old male, post nephrectomy and adrenalectomy (right), was planned for adrenalectomy (left) and radiofrequency ablation of left renal mass. Clinical evaluation indicated a possibility of phaeochromocytoma, whereas biochemical parameters were found to be within normal limits. Intraoperatively, massive fluctuations in haemodynamic parameters were noticed while the tumour was being handled. Patient was stabilised with inotropes, vasopressors, fluids and careful titration of anaesthetic agents. Preoperatively diagnosed coronary disease could have complicated anaesthetic care. Optimum and modern anaesthetic care leads to safe execution of surgery.
authors: Department of Anaesthesiology, Fortis Hospitals, Anandapur, Kolkata, India.
authors: Paramita
authors: P
authors: Trivedi
authors: Partho Sarathi
authors: PS
authors: Roy
authors: Shuvro
authors: S
authors: Roy-Choudhury
authors: Srinivas
authors: S
authors: Narayan
keywords: Adrenal incidentaloma; adrenalectomy; phaeochromocytoma; radiofrequency ablation
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