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Case Reports
Hypertensive crisis inducing rhabdomyolysis during laparoscopic resection of a large pheochromocytoma: a case report.
- Roman Schumann, Nandini Joseph, Luis Zabala, Steven D Schwaitzberg, and Ronald M Lechan.
- Department of Anesthesia, Tufts University School of Medicine 02111, Boston, MA, USA. Rschumann@tufts-nemc.org
- J Clin Anesth. 2003 Nov 1; 15 (7): 540-4.
AbstractIntense 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.
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