Vasoplegic syndrome in urology: Report of an unusual case

Abstract

Vasoplegic syndrome is often characterized by low systemic vascular resistance with clinical features of reduced blood pressure and normal or high cardiac output. Causes of vasoplegia are diverse and mostly include sepsis, cardiac surgery, non-cardiac surgery, burns, trauma, and pancreatitis. We report a case of Vasoplegic syndrome that encountered during left adrenalectomy operated for left pheochromocytoma. Postoperative hypotension is common and well documented in pheochromocytoma and it responds well to regular inotropes and volume replacement. The purpose of presenting this article is to highlight the possibility of rare resistant hypotension in this case and the invaluable role of drugs like vasopressin and methylene blue in such scenario. Hence, vasoplegia may be encountered even in urology case and we should keep high level of suspicion.