ABSTRACT: Pheochromocytomas are highly vascular & catecholamine producing tumours derived from sympathetic or parasympathetic nervous system & are estimated to occur in 2-8 out of 1million population per year; about 0.1% of all hypertensivesharbour a pheochromocytoma.Patients usually present with signs & symptoms of sympathetic stimulation, like tachycardia & hypertension etc.

It is a rare medical condition & an anaesthesiologist comes across it only a few times in his or her practice. Therefore there is a limited exposure in the management.Furthermore haemodynamic instability encountered intra & postoperatively itself is a challenge.Hence the management of a case of pheochromocytoma demands a meticulous preoperative preparation, advanced monitoring devices & good postoperative management for successful perioperative outcome.

In this report, we present a 24 year male, a diagnosed case of pheochromocytomawho underwent adrenelectomy under general anaesthesia with epidural analgesia.The patient was adequately prepared with α & β adrenergic blockers. Intraoperative course was stormy but was managed with antihypertensives, inotropes & IV fluids. The patient was extubated after the surgical procedure, shifted to SICU for further postoperative management & had an uncomplicated recovery.