Korean J Anesthesiol.  1988 Dec;21(6):1033-1036. 10.4097/kjae.1988.21.6.1033.

Cardiac Arrest due to Unsuspected pheochromocytoma Presenting during Gastric Polyp Operation

• Na CH
• Kim CS
• Kang HS
• Park TI

• KMID: 1933094
• DOI: http://doi.org/10.4097/kjae.1988.21.6.1033

Abstract

The anesthetic management of patient with pheochromocytoma is often difficult even when a clear-cut preoperative diagnosis has been made. We experienced a patient with a gastric polyp and an unsuspected pheochromocytoma which presented with transient hypertension during general anesthesia for an elective subtotal gastrectomy. The patient developed severe hypertension and arrhythmia leading to cardiac arrest just after the skin incision. This case illustrate the value of preoperative evaluation in a patient with transient hypertension.

Keyword

Anesthesia; hypertension; Gastric polyp; Cardiac arrest; Phochromocytoma

MeSH Terms

Anesthesia
Anesthesia, General
Arrhythmias, Cardiac
Diagnosis
Gastrectomy
Heart Arrest*
Humans
Hypertension
Pheochromocytoma*
Polyps*
Skin