Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia

Iyabo O. Muse, Kumar Vivek, Noah A. Bloomgarden, Amit Singla, David S. Geller

Research output: Contribution to journalArticlepeer-review

Abstract

A 38-year-old female with a past history of pheochromocytoma and subsequent malignant paraganglioma presented with right arm pain after a fall. Imaging demonstrated a malunited humeral shaft associated with a large cortical destructive lesion and extraosseous extension. Here, we report the use of a multidisciplinary team approach including an endocrinologist, anesthesiologist, and orthopedic surgeon in the perioperative management of a patient with metastatic paraganglioma undergoing a surgical resection of the humerus, internal fixation, reconstruction, and placement of endoprosthesis. The challenges of perioperative anesthetic management and the use of regional anesthesia, especially peripheral nerve block for perioperative pain management, are highlighted.

Original languageEnglish (US)
Article number2482793
JournalCase Reports in Anesthesiology
Volume2020
DOIs
StatePublished - 2020

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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