Anaesthesia for right adrenalectomy in a patient with phaeochromocytoma in a resource-challenged facility- case report.
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Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
College of Health Sciences, University of Ilorin, Ilorin, Nigeria.
Abstract
We 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
Description
Keywords
phaeochromocytoma,, anaesthetic management,, resource-challenged facility
Citation
1. Bolaji BO, Oyedepo OO, Ige OA, Rahman GA, Olatoke SA, Agodinrin SO (2013). Anaesthesia for right adrenalectomy in a patient with phaeochromocytoma in a resource-challenged facility- case report. The Tropical Journal of Health Sciences. Vol 20 (2): 36-39.