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Case Reports
. 2014 Apr 7;4(2):e15460.
doi: 10.5812/aapm.15460. eCollection 2014 May.

Laparoscopic cortical sparing adrenalectomy for pediatric bilateral pheochromocytoma: anesthetic management

Geetha Chamanhalli Rajappa  1 , Tejesh Channasandra Anandaswamy  1
Affiliations
Case Reports

Laparoscopic cortical sparing adrenalectomy for pediatric bilateral pheochromocytoma: anesthetic management

Geetha Chamanhalli Rajappa et al. Anesth Pain Med. .

Abstract

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.

Keywords: Adrenalectomy; Anesthetics; Laparoscopy; Pediatrics; Pheochromocytoma.

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Figures

Figure 1.
Figure 1.. A: CT Scan of Abdomen Revealed Bilateral Pheochromocytoma, B: [123] I-Labelled MIBG Scan Showing Inconclusive Findings, C and D: PET Scan Revealed Metabolically Active Enhancing Nodule in the Right Suprarenal Region
See this image and copyright information in PMC

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