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Korean Journal of Anesthesiology 1999;37(4):721-725.
DOI: https://doi.org/10.4097/kjae.1999.37.4.721   
Anesthetic Management of Pediatric Patient with Pheochromocytoma: A case report.
Yoo Jin Kang, Jin Hye Min
1Department of Anesthesiology, Catholic University, St. Vincent's Hospital, Suwon, Korea.
2Department of Anesthesiology, Kwandong University, Myungji Hospital, Ilsan, Korea.
Pheochromocytoma is an unusual tumor in pediatric age group and there are several different aspects from adult counterparts. Children have fewer malignant, more extra-adrenal, and greater bilaterality and multiplicity of tumor. We present a case of 14-year old boy with pheochromocytoma who has symptoms such as episodic headaches, vomiting, seizure and paroxysmal hypertension which is less common in children. Although the duration of preoperative preparation was not long enough, we decided to remove the tumor because symptoms were disappeared rather rapidly after alpha and beta adrenergic blocker treatment. The patient was managed with continuous epidural block and light general anesthesia but extra use of adrenergic receptor blocker and vasodilator were demanded during tumor manipulation. The patient has remained well postoperatively but long-term follow up is essential because of the possibilities of recurrence.
Key Words: Pharmacology, dopamine, nitroglycerine, phentolamine; Surgery, pheochromocytoma, children; Sympathetic nervous system.


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