Publication:

Laparoscopic right adrenalectomy in a female with malignant hypertension secondary to pheochromocytoma: a case report

Pheochromocytomas are uncommon adrenal tumors that can present considerable clinical difficulties because of their ability for catecholamine release and hypertensive crises. We report a case of a pheochromocytoma treated effectively with laparoscopic adrenalectomy. A 36-year-old woman was presented with secondary hypertension. Preoperative IV fluids, IV PPI’s, blockade was initiated with antihypertensive drugs to optimize hemodynamic control. The patient had a laparoscopic adrenalectomy. Histopathological analysis confirmed the diagnosis of pheochromocytoma with presence of Zellballan pattern and pheochromocytoma of the adrenal gland scaled score (PASS). Complications were minimal, with low hemoglobin, and 1 unit of PRBC was transfused. Post operatively, blood pressure and electrolytes levels were normalized. Laparoscopic adrenalectomy shown to be a reliable and efficient method for treating pheochromocytoma, resulting in improved blood pressure regulation and quality of life for the patient. This case highlights the significance of a multidisciplinary strategy, encompassing preoperative medical optimization and diligent postoperative observation, in the management of pheochromocytomas, and contributes to the increasing evidence favouring laparoscopic adrenalectomy for these adrenal tumors.