Browsing by Author "Agodirin, SO"
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Item Anaesthesia for right adrenalectomy in a patient with phaeochromocytoma in a resource-challenged facility- case report.(College of Health Sciences, University of Ilorin, Ilorin, Nigeria., 2013) Bolaji, Benjamin olusomi; Oyedepo, olubukola Olanrewaju; Ige, Olufemi Adebayo; Rahman, Ganiyu Adebisi; Olatoke, Samuel; Agodirin, SOWe present a case of phaeochromocytoma in a 22 year old female who had adrenalectomy done in our hospital as our first experience in 25 years. The patient presented with 2 months history of low grade fever, excessive sweating and throbbing headache. Her blood pressure on presentation was 190/140 mm Hg. A diagnosis of phaeochromocytoma was made from the history, clinical examination, ultrasound finding of a suprarenal mass and raised urine catecholamine levels. Preoperatively, blood pressure was controlled with prazosin and propranolol. She had right adrenalectomy under general anaesthesia. Intraoperatively, blood pressure was controlled with infusion of hydrallazine and intermittent bolus doses administered during surges in blood pressure. Adrenaline infusion and bolus doses were used to treat hypotension after excision of the tumour. The postoperative course was uneventful