Korean J Anesthesiol.  2015 Feb;68(1):78-82. 10.4097/kjae.2015.68.1.78.

Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report

• Gil NS
• Han JY
• Ok SH
• Shin IW
• Lee HK
• Chung YK
• Sohn JT

• KMID: 2236194
• DOI: http://doi.org/10.4097/kjae.2015.68.1.78

Abstract

A reninoma is an uncommon, benign, renin-secreting juxtaglomerular cell tumor that causes secondary hypertension in young patients. This hypertension is treated by tumor resection. Except for increased levels of plasma renin and angiotensin I and II, the other physical and laboratory examinations and electrocardiographs were within normal limits upon admission of a 19-year-old woman with a reninoma. For percutaneous computed tomography-guided radiofrequency ablation, general anesthesia was induced by thiopental sodium and rocuronium bromide and maintained with servoflurane (2-4 vol%) and oxygen. The operation ended uneventfully in hemodynamic stability. However, the patient complained of dizziness while sitting 5 hours after the operation, and hypotension was diagnosed. After aggressive normal saline (1 L) infusion over 30 min, the hypotension was corrected and the patient recovered without any other surgical complications. Here, we report the anesthetic management of a patient who underwent percutaneous computed tomography-guided radiofrequency ablation for reninoma destruction, particularly focusing on postoperative hypotension.

Keyword

Anesthetic management; Radiofrequency ablation; Reninoma

MeSH Terms

Anesthesia, General
Angiotensin I
Catheter Ablation*
Dizziness
Electrocardiography
Female
Hemodynamics
Humans
Hypertension
Hypotension
Oxygen
Plasma
Renin
Thiopental
Young Adult
Angiotensin I
Oxygen
Renin
Thiopental