Unexpected Undiagnosed Pheochromocytoma on Table: Anaesthetic Management

摘要

A 52 year male was admitted in a surgical ward with a large retroperitoneal mass. The patient underwent surgical intervention and the surgeon identified that the tumor was originating  from the head of pancreas compressing major blood vessels. Markedly severe hemodynamic fluctuations occurred during the manipulation of the tumor which were managed with vasodilators and opioids. The tumor was successfully removed and patient was discharged without any sequelae after five days. The pathology report indicated a diagnosis of neuroendocrine tumor i.e pheochromocytoma. Unexplained pheochromocytoma may lead to fatal hypertensive crisis with a catastrophic sequelae during surgery.