title: Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report.
abstract: A reninoma is an uncommon, benign, renin-secreting juxtaglomerular cell tumor that causes secondary hypertension in young patients. This hypertension is treated by tumor resection. Except for increased levels of plasma renin and angiotensin I and II, the other physical and laboratory examinations and electrocardiographs were within normal limits upon admission of a 19-year-old woman with a reninoma. For percutaneous computed tomography-guided radiofrequency ablation, general anesthesia was induced by thiopental sodium and rocuronium bromide and maintained with servoflurane (2-4 vol%) and oxygen. The operation ended uneventfully in hemodynamic stability. However, the patient complained of dizziness while sitting 5 hours after the operation, and hypotension was diagnosed. After aggressive normal saline (1 L) infusion over 30 min, the hypotension was corrected and the patient recovered without any other surgical complications. Here, we report the anesthetic management of a patient who underwent percutaneous computed tomography-guided radiofrequency ablation for reninoma destruction, particularly focusing on postoperative hypotension.
authors: Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Seoul, Korea.
authors: Nam-Su
authors: NS
authors: Gil
authors: Department of Anesthesiology and Pain Medicine, Gyeongsang National University Hospital, Jinju, Korea.
authors: Jeong Yeol
authors: JY
authors: Han
authors: Department of Anesthesiology and Pain Medicine, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Seong-Ho
authors: SH
authors: Ok
authors: Department of Anesthesiology and Pain Medicine, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Il-Woo
authors: IW
authors: Shin
authors: Department of Anesthesiology and Pain Medicine, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Heon Keun
authors: HK
authors: Lee
authors: Department of Anesthesiology and Pain Medicine, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Young-Kyun
authors: YK
authors: Chung
authors: Department of Anesthesiology and Pain Medicine, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Ju-Tae
authors: JT
authors: Sohn
keywords: Anesthetic management; Radiofrequency ablation; Reninoma