Anesthesia in a case of glucagonoma

The case of a patient with all manifestations of pancreatic glucagonoma is presented. The real prevalence of this disease is unknown for in many cases there are no clinical manifestations. It is usually an accidental finding during autopsy and it is considered as an infrequent entity. Patients with glucagonomas may have different hydroelectrolytic and metabolic changes causing myocardial dysfunction and thromboembolic alterations. Anesthesia for this type of patients requires a strict control of glycemia, a careful evaluation of the nutritional and hydroelectrolytic state and adequate thromboembolic prophylaxis.