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

doi:10.1016/j.jclinane.2003.02.006

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

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7 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 language	English (US)
Pages (from-to)	540-544
Number of pages	5
Journal	Journal of Clinical Anesthesia
Volume	15
Issue number	7
DOIs	https://doi.org/10.1016/j.jclinane.2003.02.006
State	Published - Nov 2003

Keywords

Anesthesia
Hyperkalemia
Laparoscopic surgery
Pheochromocytoma
Renal failure
Rhabdomyolysis

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1016/j.jclinane.2003.02.006

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title = "Hypertensive crisis inducing rhabdomyolysis during laparoscopic resection of a large pheochromocytoma: A case report",

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.",

keywords = "Anesthesia, Hyperkalemia, Laparoscopic surgery, Pheochromocytoma, Renal failure, Rhabdomyolysis",

author = "Roman Schumann and Nandini Joseph and Luis Zabala and Schwaitzberg, {Steven D.} and Lechan, {Ronald M.}",

year = "2003",

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T1 - Hypertensive crisis inducing rhabdomyolysis during laparoscopic resection of a large pheochromocytoma

T2 - A case report

AU - Schumann, Roman

AU - Joseph, Nandini

AU - Zabala, Luis

AU - Schwaitzberg, Steven D.

AU - Lechan, Ronald M.

PY - 2003/11

Y1 - 2003/11

N2 - 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.

AB - 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.

KW - Anesthesia

KW - Hyperkalemia

KW - Laparoscopic surgery

KW - Pheochromocytoma

KW - Renal failure

KW - Rhabdomyolysis

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ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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