Phaeochromocytoma- A Case Report of Anaesthetic Management of An Atypical Presentation with Postoperative Polyuria

Phaeochromocytoma is a rare case to present for surgical excision and the key in decreasing the morbidity and mortality associated with this disease is surgical excision of the tumour with preoperative adequate medical management and optimisation. We describe the management of a case of phaeochromocytoma who presented with atypical symptoms, catecholamine induced cardiomyopathy who was evaluated and optimised preoperatively and taken up for open left adrenalectomy under epidural with general anaesthesia along with central venous access and invasive blood pressure monitoring; and in whom there was postoperative polyuria. We hereby describe the challenges encountered with management of this case and discuss the measures taken to mitigate and manage the same.