Anaesthetic Management of Men2a Syndrome: A Case Report on Laparoscopic Left Adrenalectomy Followed by Total Thyroidectomy with Parathyroidectomy

Dr. Megha Kunjam, Dr. Priyanka Deshmukh, Dr. Archana Har

Abstract: This case report discusses the anesthetic management of a 59 - year - old female diagnosed with MEN2A, undergoing a two - part surgery: laparoscopic left adrenalectomy followed by total thyroidectomy with parathyroidectomy. The patient presented with hypertension and palpitations. Intraoperative hypertension was successfully managed with nitroglycerin infusion and esmolol. A flexometallic tube was used during the thyroidectomy with parathyroidectomy. The report highlights the perioperative challenges and the strategies employed to ensure patient safety and optimal surgical outcomes.

Keywords: Pheochromocytoma, MEN2A syndrome, Medullary thyroid carcinoam