Korean J Anesthesiol.  1999 Oct;37(4):721-725. 10.4097/kjae.1999.37.4.721.

Anesthetic Management of Pediatric Patient with Pheochromocytoma: A case report

• Kang YJ
• Min JH

• KMID: 2091477
• DOI: http://doi.org/10.4097/kjae.1999.37.4.721

Abstract

Pheochromocytoma is an unusual tumor in pediatric age group and there are several different aspects from adult counterparts. Children have fewer malignant, more extra-adrenal, and greater bilaterality and multiplicity of tumor. We present a case of 14-year old boy with pheochromocytoma who has symptoms such as episodic headaches, vomiting, seizure and paroxysmal hypertension which is less common in children. Although the duration of preoperative preparation was not long enough, we decided to remove the tumor because symptoms were disappeared rather rapidly after alpha and beta adrenergic blocker treatment. The patient was managed with continuous epidural block and light general anesthesia but extra use of adrenergic receptor blocker and vasodilator were demanded during tumor manipulation. The patient has remained well postoperatively but long-term follow up is essential because of the possibilities of recurrence.

Keyword

Pharmacology, dopamine, nitroglycerine, phentolamine; Surgery, pheochromocytoma, children; Sympathetic nervous system.

MeSH Terms

Adolescent
Adrenergic Antagonists
Adult
Anesthesia, General
Child
Follow-Up Studies
Headache
Humans
Hypertension
Male
Pheochromocytoma*
Receptors, Adrenergic
Recurrence
Seizures
Vomiting
Adrenergic Antagonists
Receptors, Adrenergic