No abstract

A 10 year boy presented with history of abdominal pain and palpitation. Abdominal ultrasound and CT oriented towards the diagnosis. After preoperative optimization, laparotomy with complete excision of an unusual pheochromocytoma tumour of about 8×10 cm adherent to liver and IVC performed.Histopathology confirmed the diagnosis without evidence of malignancy.

We report a case of 10 year old boy with unilateral pheochromocytoma who presented with short history of abdominal pain and palpitation. He remained under treatment by general practitioners and incidentally markedly high blood pressure was noted. Ultrasound and abdominal CT oriented towards the diagnosis. After careful preparation and preoperative optimization, surgical excision (right total adrenalectomy) was done and an unusual large pheochromocytoma tumor of about 8 × 10 cm adherent to liver and IVC was excised and histopathological confirmed without any evidence of malignancy.

No abstract

The multifarious anaesthetic challenges associated with tracheo-oesophageal fistula surgery are difficult tracheal intubation, continuous air leakage during positive pressure ventilation, gastric distension, sharing of the airway with surgeons, intraoperative desaturation due to surgical retractors and maintaining anesthetic depth. These challenges are managed properly only when pathophysiology of the fistula is well understood. In this case report we present an anaesthetic management with a near miss situation during repair of tracheo-oesophageal fistula in a neonate. Intraoperatively, the patient’s oxygen saturation decreased which did not improve despite correcting all possible reasons. Before the worst could have occurred, we identified endotracheal tube blockage as the cause and changing the tube on time saved the neonate.