2008 Volume 28 Issue 5 Pages 814-819
A 59-year-old woman with chronic renal failure and hypertension was scheduled to undergo resection of hepatic tumor. During manipulation of the tumor, repeated unusual hypertension was shown, so we suspected pheochromocytoma and terminated the operation. Upon multiple examinations after the surgery, she was diagnosed as having paraganglioma. Adrenergic alpha-blockers were used as preoperative circulation control. After her blood pressure was controlled, she underwent resection of paraganglioma again. During the second operation, the management of her blood pressure was easier and safer than during the first operation, and no complications occurred.