Perioperative Management of a Patient with a Nonsurgical Pheochromocytoma: Anesthetic Implications (Case Report)

Abstract

Patients with nonsurgical malignant pheochromocytoma are at risk for major hemodynamic instability during periods of stress, including the perioperative period. Unpredictable changes in catecholamine levels are observed in these patients who are candidates for surgery other than adrenal tumor resection, which may lead to hemodynamic instability. For this reason, adequate preoperative preparation of patients with pheochromocytoma is considered as the mainstay of anesthetic management. This case report describes the perioperative management of a patient with a malignant pheochromocytoma who was to undergo a hemiarthroplasty following a left femoral neck fracture.