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 Citations (Scopus)

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

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Rhabdomyolysis
Pheochromocytoma
Hyperkalemia
Intraoperative Complications
Electrolytes
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Hypertensive crisis inducing rhabdomyolysis during laparoscopic resection of a large pheochromocytoma : A case report. / Schumann, Roman; Joseph, Nandini; Zabala, Luis; Schwaitzberg, Steven D.; Lechan, Ronald M.

In: Journal of Clinical Anesthesia, Vol. 15, No. 7, 11.2003, p. 540-544.

Research output: Contribution to journalArticle

Schumann, Roman ; Joseph, Nandini ; Zabala, Luis ; Schwaitzberg, Steven D. ; Lechan, Ronald M. / Hypertensive crisis inducing rhabdomyolysis during laparoscopic resection of a large pheochromocytoma : A case report. In: Journal of Clinical Anesthesia. 2003 ; Vol. 15, No. 7. pp. 540-544.
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