Background: Pheochromocytoma is a catecholamine secreting
tumour which imposes multimodal challenges to the anaesthesiologist
in its perioperative management. We report a case of a 12 year old boy
with complaints of palpitations, headache, sweating and sleeplessness.
Pheochromocytoma was diagnosed by 24 hours urine metanephrines,
vanillylmandelic acid and MRI abdomen. The main stay in the surgical
management of pheochromocytoma is preoperative preparation which
determines the outcome. Patient was operated under general anaesthesia with epidural analgesia. Beta blockers, nitroglycerine, sodium nitroprusside and phenylephrine are required to manage the hemodynamic fluctuations and should be used appropriately.

Conclusion: Successful management requires careful preoperative optimization, meticulous intraoperative planning, and hemodynamic management.

Keywords: Atenolol; Metanephrines; Pheochromocytoma; Sodium
nitroprusside; Vanillyl Mandelic Acid.