"The Calm between the Storms:" Perioperative Management of a Patient with Pheochromocytoma in Catecholamine Crisis

Pheochromocytoma (PCC) is a catecholamine-secreting tumor that originates from chromaffin cells in the adrenal medulla. Anesthetic management of PCC can be challenging due to hemodynamic fluctuations. Thorough preoperative evaluation and optimization, meticulous intraoperative management and good communication between surgeon and anesthetist are crucial for patient safety. This is a case report of successful perioperative management of patient with PCC posted for laparoscopic adrenalectomy; where the patient developed catecholamine crisis in the immfigediate preoperative period, making the perioperative management even more challenging due to widely fluctuating hemodynamics.