Aithal Rashmi R, Bhat Sonal, Pejavar Shodhan R, Dubey Samriddhi
Department of Anesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, India.
Department of Forensic Medicine and Toxicology, A.J. Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India.
Ann Afr Med. 2025 Apr 14. doi: 10.4103/aam.aam_204_24.
Pheochromocytoma (PCC) is a catecholamine-secreting tumor that originates from chromaffin cells in the adrenal medulla. Anesthetic management of PCC can be challenging due to hemodynamic fluctuations. Thorough preoperative evaluation and optimization, meticulous intraoperative management and good communication between surgeon and anesthetist are crucial for patient safety. This is a case report of successful perioperative management of patient with PCC posted for laparoscopic adrenalectomy; where the patient developed catecholamine crisis in the immediate preoperative period, making the perioperative management even more challenging due to widely fluctuating hemodynamics.
嗜铬细胞瘤（PCC）是一种分泌儿茶酚胺的肿瘤，起源于肾上腺髓质的嗜铬细胞。由于血流动力学波动，PCC的麻醉管理可能具有挑战性。全面的术前评估和优化、细致的术中管理以及外科医生和麻醉医生之间的良好沟通对患者安全至关重要。这是一例为行腹腔镜肾上腺切除术的PCC患者围手术期成功管理的病例报告；该患者在术前即刻发生儿茶酚胺危象，由于血流动力学广泛波动，使得围手术期管理更具挑战性。
