Hypertensive crisis inducing rhabdomyolysis during laparoscopic resection of a large pheochromocytoma: A case report

Roman Schumann, Nandini Joseph, Luis Zabala, Steven D. Schwaitzberg, Ronald M. Lechan

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Intense vasospasm during hypertensive crisis as a cause for rhabdomyolysis has been described in ambulatory patients with pheochromocytoma. We report this phenomenon as an intraoperative complication in a patient during laparoscopic pheochromocytoma resection and discuss patient and procedure related risk factors. Unexplained intraoperative hyperkalemia following a severe hypertensive episode during surgery may be a first sign of rhabdomyolysis. Anesthesiologists should be aware of such a possibility. Intra- and postoperative serial electrolyte determinations and if suspected, timely screening for myoglobiuria, may aid in early detection and treatment of intraoperative rhabdomyolysis during pheochromocytoma resections.

Original languageEnglish (US)
Pages (from-to)540-544
Number of pages5
JournalJournal of Clinical Anesthesia
Volume15
Issue number7
DOIs
StatePublished - Nov 2003

Keywords

  • Anesthesia
  • Hyperkalemia
  • Laparoscopic surgery
  • Pheochromocytoma
  • Renal failure
  • Rhabdomyolysis

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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