Abstract
The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.
Highlights
Phaeochromocytoma presents as paroxysmal episodes of headache, diaphoresis and hypertension
The “rule of 10” (10% tumours are malignant, 10% extra-adrenal, 10% bilateral, 10% familial and 10% occur in normotensive patients) has been challenged recently as there appears to be a higher proportion of tumours that are malignant (29%), extra-adrenal (24%) and/or familial (32%).[2]. This tumour can present with familial chromaffinomas which are inherited in an autosomal dominant manner such as multiple endocrine neoplasia type 2 and 3, neurofibromatosis and von Hippel Lindau disease.[3,4]
On completion of the surgery she was transferred to the intensive care unit (ICU) where she was extubated within a few hours
Summary
Harshika Chathurangi Hannadige1*, Marie Fernando[2] Registrar in Anaesthetics1*, Consultant Anaesthetist[2], National Hospital of Sri Lanka, Colombo 10, Sri Lanka. Phaeochromocytoma is a tumour of neuro-endocrine origin in the adrenal medulla. It is a rare cause of hypertension in pregnancy. Its prevalence in hypertensive patients is 0.2% and 0.002% in pregnancies.[1]. We report an anaesthetic experience of a combined caesarean section and surgical excision of a phaeochromocytoma in a patient who was 36+ weeks pregnant
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