We report an unusual case of pheochromacytoma and investigate the perioperative anesthetic management methods for giant abdominal aortic pheochromocytoma. We analyzed and summarized the recent clinical anesthetic management and experience in the hospital for a giant abdominal aortic pheochromocytoma, with the size of 20 × 14 × 5 cm. Under general anesthesia combined with TAPB, the resection of the giant abdominal aorta pheochromocytoma was successfully completed, and the patient was cured and discharged. Well planned and careful management resulted in patient with stable blood pressure, blood volume and cardiac functions, free from complications. We concluded that, as for the patient in this case, the clear preoperative pathological diagnosis, intraoperative joint application of a variety of vasoactive drugs, the long time usage of postoperative high dose of norepinephrine, as well as effective analgesic measures, were the focus of the patient’s perioperative anesthesia management, providing protection to the prognosis and turnover to the patients.World J Oncol. 2017;8(6):191-195doi: https://doi.org/10.14740/wjon1065e
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