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Laparoscopic cortical sparing adrenalectomy for pediatric bilateral pheochromocytoma: anesthetic management
Geetha Chamanhalli Rajappa1, Tejesh Channasandra Anandaswamy1
1Department of Anesthesiology, Rajiv Gandhi University of Health Sciences, Bangalore, India.
Introduction:
Pheochromocytoma is a catecholamine-secreting tumor, which is seen rarely in children. These tumors predominantly secrete norepinephrine and epinephrine. They might be familial and associated with hereditary tumors such as Von Hippel-Lindau syndrome and multiple endocrine neoplasia type II.
Case Presentation:
The child might present with a spectrum of clinical manifestation including hypertension, headache, visual disturbances, and behavioral problems. A meticulous preoperative preparation is essential for a stable intraoperative and postoperative outcome.
Conclusions:
We described successful perioperative management of a child who underwent bilateral laparoscopic cortical sparing adrenalectomy and a repeated surgery for the residual tumor removal.
