Skip to main content
  • Home
  • Articles
    • Archive from 2022 July
    • Archive 1960 to 2022 June
    • Accepted Articles
    • Published Ahead-of-Print
    • Supplement
  • About
  • For Authors
  • Podcasts

Perioperative concerns of recurrent urinary bladder phaeochromocytoma with skeletal metastasis

< Back to Listing

Share this Article

Singapore Med J 2012; 53(2): e40-e41
Perioperative concerns of recurrent urinary bladder phaeochromocytoma with skeletal metastasis

  • Abstract
  • PDF

Darlong V, Pandey R, Garg R, Kumar S, Punj J
Correspondence: Dr Vanlal Darlong,110029, drrgarg@hotmail.com

ABSTRACT
We report the perioperative management of a 61-year-old man diagnosed with recurrent urinary bladder phaeochromocytoma with vertebral and rib metastasis following partial cystectomy and nephrectomy. His blood pressure was controlled with antihypertensive agents. Epidural analgesia was avoided in view of vertebral metastasis; instead, analgesia was provided with fentanyl infusion. Intraoperative hypertensive episodes were managed with nitroglycerine, sodium nitroprusside and esmalol. However, after surgery, the patient required inotropic support and was moved to the intensive care unit. Analgesia was maintained with fentanyl infusion, and inotropic support was gradually weaned off. Nuclear ablative therapy was planned for bony metastasis. We recommend that recurrences of extra adrenal phaeochromocytoma be investigated for bony metastasis and cautiously managed in the perioperative period so as to avoid neurological complications.
 
Keywords: epidural analgesia, recurrent phaeochromocytoma, vertebral metastasi
Singapore Med J 2012; 53(2): e40–e41

http://smj.org.sg/sites/default/files/5302/5302cr6.pdf
×

Around the Site

Home

About SMJ

For Reviewers

Sign Up for Alerts

Issues

Current Issue

All Issues

Online First

Supplement

CME

For Authors

Instructions for Authors

Submit Manuscript


Follow us on:
        

More Links

Contact Us

Copyright

Advertise

SMJ Forms

Privacy Policy

SMA Home

Copyright 2021. Singapore Medical Association. All Rights Reserved.