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Year : 2019  |  Volume : 9  |  Issue : 3  |  Page : 144-146

Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma

Department of Anesthesiology, Miller School of Medicine, University of Miami, Miami, Florida, USA

Correspondence Address:
Dr. Brian M Osman
Department of Anesthesiology, Miller School of Medicine, University of Miami, 1400 NW 12th Avenue, Suite 3075, Miami, Florida 33136
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJCIIS.IJCIIS_82_18

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Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.

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