Extremes of hyper and hypotensions in pheochromocytoma-a perioperative management

ABSTRACT

We report a case of 30 years old female who presented with history of frequent headaches, palpitation, sweating along with mass abdomen. Hypertension was accelerated as ECG reflected sinus rhythm with left ventricular hypertrophy and no papilloedema. Ultrasound abdomen revealed right sided, well defined solid mass posterolateral to the inferior vena cava. Urine analysis revealed raised metabolite vanillylmandalic acid. Patient was diagnosed as a case of pheochrojnocytoma of the right suprarenal gland. After control of blood pressure, laparotomy under general anaesthesia was performed. A big tumour was excised. Histopathology confirmed the diagnosis of pheochromocytoma