Sever hypertension in a child with Wilms' tumor: a case report

Problems of management in a child with a large Wilms' tumor and severe uncontrolled hypertension presenting for anesthesia and operation included attempts to determine the etiology of the hypertension; identification of hazards produced by attempted rapid pharmacologic control of blood pressure; need for urgent operative intervention despite uncontrolled hypertension; and choice of anesthetic agent and technic.