Perioperative anesthetic management of intestinal pseudo-obstruction as a complication of pheochromocytoma

Background Intestinal pseudo-obstruction, which is a rare complication of pheochromocytoma, can be caused by hypersecreted catecholamines. Case presentation A 45-year-old woman was admitted for local recurrence of pheochromocytoma complicated by intestinal pseudo-obstruction. The intestinal pseudo-o...

Full description

Saved in:
Bibliographic Details
Published in:JA clinical reports 2019-05, Vol.5 (1), p.35-35, Article 35
Main Authors: Okumura, Saki, Sumie, Makoto, Karashima, Yuji
Format: Article
Language:English
Subjects:
Abdomen
Adrenergic receptors
Analgesics
Anesthesiology
Case Report
Catecholamines
Catheters
Critical Care Medicine
Emergency Medicine
Endoscopy
Epidural
Epidural anesthesia
Fentanyl
General anesthesia
Intensive
Intestinal pseudo-obstruction
Medicine
Medicine & Public Health
Nausea
Nervous system
Pain
Pain Medicine
Patients
Phentolamine
Pheochromocytoma
Scintigraphy
Surgery
α-Adrenergic receptor blocker
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Intestinal pseudo-obstruction, which is a rare complication of pheochromocytoma, can be caused by hypersecreted catecholamines. Case presentation A 45-year-old woman was admitted for local recurrence of pheochromocytoma complicated by intestinal pseudo-obstruction. The intestinal pseudo-obstruction showed poor response to α-adrenergic receptor blocker and she was scheduled for surgical resection of pheochromocytoma. The surgery was uneventfully accomplished with general anesthesia combined with epidural anesthesia. The latter was performed with the aim of not only perioperative pain management but also of promoting intestinal peristalsis. The anticipated effect for intestinal peristalsis was not apparent in the early postoperative phase. The abdominal symptoms were gradually relieved over the course of about 1 month. Conclusions For intestinal pseudo-obstruction induced by pheochromocytoma, although inhibition of the sympathetic system by epidural infusion of local anesthetics may be promising, short-term usage of epidural local anesthetics infusion did not provide a quick recovery after pheochromocytoma removal surgery.
ISSN:2363-9024
2363-9024
DOI:10.1186/s40981-019-0255-9