Anaesthetic Management for a Patient with Pheochromocytoma: A Case Report

Pheochromocytoma (PCC) is a rare neuroendocrine (catecholamine-secreting) tumour of the adrenal gland. Anaesthetic management during surgery can be challenging due to perioperative haemodynamic instability. We report a 58-year-old male patient with right adrenal gland PCC who underwent surgical excision under general anaesthesia (GA). Preoperatively, the patient's high blood pressure (BP) was adequately controlled with α-adrenergic blockers. Intraoperative haemodynamic fluctuations during tumour manipulation were managed pharmacologically with esmolol and remifentanil, while hypotension following tumour excision was treated with intravenous fluids and vasopressors. Postoperatively, the patient was transferred to the intensive care unit (ICU) for monitoring and pain management, where he made an uncomplicated recovery. Comprehensive preoperative preparation and close intraoperative communication with surgeons allow anaesthesiologists to anticipate and prevent major haemodynamic instability and cardiovascular complications during PCC excision.