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Gil NS, Han JY, Ok SH, et al. Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report. Korean J Anesthesiol. 2015;68(1):78-82doi: 10.4097/kjae.2015.68.1.78.
Gil, N. S., Han, J. Y., Ok, S. H., Shin, I. W., Lee, H. K., Chung, Y. K., & Sohn, J. T. (2015). Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report. Korean journal of anesthesiology, 68(1), 78-82. https://doi.org/10.4097/kjae.2015.68.1.78
Gil, Nam-Su, et al. "Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report." Korean journal of anesthesiology vol. 68,1 (2015): 78-82. doi: https://doi.org/10.4097/kjae.2015.68.1.78
Gil NS, Han JY, Ok SH, Shin IW, Lee HK, Chung YK, Sohn JT. Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report. Korean J Anesthesiol. 2015 Feb;68(1):78-82. doi: 10.4097/kjae.2015.68.1.78. Epub 2015 Jan 28. PMID: 25664160; PMCID: PMC4318870.
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Korean J Anesthesiol. 2015 Feb;68(1):78-82. doi: 10.4097/kjae.2015.68.1.78. Epub 2015 Jan 28.

Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report.

Korean journal of anesthesiology

Nam-Su Gil, Jeong Yeol Han, Seong-Ho Ok, Il-Woo Shin, Heon Keun Lee, Young-Kyun Chung, Ju-Tae Sohn

Affiliations

  1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Seoul, Korea.
  2. Department of Anesthesiology and Pain Medicine, Gyeongsang National University Hospital, Jinju, Korea.
  3. Department of Anesthesiology and Pain Medicine, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.

PMID: 25664160 PMCID: PMC4318870 DOI: 10.4097/kjae.2015.68.1.78

Abstract

A reninoma is an uncommon, benign, renin-secreting juxtaglomerular cell tumor that causes secondary hypertension in young patients. This hypertension is treated by tumor resection. Except for increased levels of plasma renin and angiotensin I and II, the other physical and laboratory examinations and electrocardiographs were within normal limits upon admission of a 19-year-old woman with a reninoma. For percutaneous computed tomography-guided radiofrequency ablation, general anesthesia was induced by thiopental sodium and rocuronium bromide and maintained with servoflurane (2-4 vol%) and oxygen. The operation ended uneventfully in hemodynamic stability. However, the patient complained of dizziness while sitting 5 hours after the operation, and hypotension was diagnosed. After aggressive normal saline (1 L) infusion over 30 min, the hypotension was corrected and the patient recovered without any other surgical complications. Here, we report the anesthetic management of a patient who underwent percutaneous computed tomography-guided radiofrequency ablation for reninoma destruction, particularly focusing on postoperative hypotension.

Keywords: Anesthetic management; Radiofrequency ablation; Reninoma

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