International Journal of Critical Illness and Injury Science

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

Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma


Paul Potnuru, Isabela C Saba, Brian M Osman 
 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
USA

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.


How to cite this article:
Potnuru P, Saba IC, Osman BM. Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma.Int J Crit Illn Inj Sci 2019;9:144-146


How to cite this URL:
Potnuru P, Saba IC, Osman BM. Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma. Int J Crit Illn Inj Sci [serial online] 2019 [cited 2021 Sep 28 ];9:144-146
Available from: https://www.ijciis.org/article.asp?issn=2229-5151;year=2019;volume=9;issue=3;spage=144;epage=146;aulast=Potnuru;type=0