Indian Journal of Anaesthesia  
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Year : 2013  |  Volume : 57  |  Issue : 3  |  Page : 295-297

Anaesthetic management of previously non-diagnosed phaeochromocytoma: Clinical vigilance, the ultimate saviour of anaesthesiologist

1 Department of Anaesthesiology, Fortis Hospitals, Anandapur, Kolkata, India
2 Department of Radiology, Fortis Hospitals, Anandapur, Kolkata, India
3 Department of Urosurgery, Fortis Hospitals, Anandapur, Kolkata, India

Correspondence Address:
Paramita Trivedi
South City Residences, 10G, Tower 2, 375, Prince Anwar Shah Road, Kolkata - 700 068, West Bengal
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Source of Support: Fortis Hospitals, Anandapur, Kolkata, West Bengal, India., Conflict of Interest: None

DOI: 10.4103/0019-5049.115620

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A 39-year-old male, post nephrectomy and adrenalectomy (right), was planned for adrenalectomy (left) and radiofrequency ablation of left renal mass. Clinical evaluation indicated a possibility of phaeochromocytoma, whereas biochemical parameters were found to be within normal limits. Intraoperatively, massive fluctuations in haemodynamic parameters were noticed while the tumour was being handled. Patient was stabilised with inotropes, vasopressors, fluids and careful titration of anaesthetic agents. Preoperatively diagnosed coronary disease could have complicated anaesthetic care. Optimum and modern anaesthetic care leads to safe execution of surgery.

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