Abstract
A22-year-old Hispanic female presented with a 2-year history of dizziness, palpitations, nausea and elevated blood pressures. Biochemical and radiological evaluation confirmed the presence of a pheochromocytoma (see table 1). The patient was started on doxazosin and propranolol in preparation for surgery. Preoperative CBC revealed a white count of 8,400/mm3, hemoglobin 13.1 g/dl, platelets 341,000/ mm3 and a normal metabolic panel. Laparoscopic adrenalectomy was attempted. However, upon the initial abdominal insufflation, trocar insertion and expander insertion, the patient developed a pheochromocytoma crisis. The surgical procedure was aborted.
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