Epinephrine-secreting large incidental pheochromocytoma in a normotensive male with stormy intraoperative hemodynamics.
نویسندگان
چکیده
Pheochromocytoma is a rare tumour which is usually suggested by sustained or paroxysmal hypertension however the spectrum of the presentation of pheochromocytoma continues to expand and hypertension may be absent despite excess catecholamine secretion. The normotensive pheochromocytoma is a distinct entity and as in the case we report the presentation was quite unique as well as the intraoperative behaviour was stormy.
منابع مشابه
Undiagnosed Pheochromocytoma Complicated with Perioperative Hemodynamic Crisis and Multiple Organ Failure
Pheochromocytoma is a rare catecholamine secreting tumor of the chromaffin of the body derived from the neural crest tissue and accounts for 0.1% to 1% of all cases of chronic hypertension (Manger et al, 1985). The common presenting signs and symptoms are paroxysmal hypertension, headache, excessive sweating, and palpitation. The hypertension is episodic in nature in up to 50% of cases. Also, 1...
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Pheochromocytoma is rare, accounting for less than 0.1 % of hypertensive population. In this report, we describe a 40-year-old male a diagnosed case of pheochromocytoma who underwent adrenalectomy under general anaesthesia with epidural analgesia. The patient was adequately prepared with alpha adrenergic blockers. Intraoperative course was stormy but was managed with antihypertensives, inotrope...
متن کاملA reevaluation of the hemodynamics of pheochromocytoma.
We examined the hemodynamic features of 24 untreated patients with surgically proven pheochromocytoma during steady-state periods and compared them with 24 untreated essential hypertensive patients individually matched for sex, age, body surface area, and arterial blood pressure. We found that, despite having 10-fold higher levels of circulating catecholamines, pheochromocytoma patients have he...
متن کاملAdvances in the diagnosis and treatment of pheochromocytoma.
Diagnosis and management of pheochromocytoma, once dangerous and uncertain, have been dramatically altered in recent years by advances in imaging, assays, and pharmaceuticals. During the past ten years we have treated 18 patients who had pheochromocytoma. Biochemical diagnosis was made in all patients by measurement of 24-hour urinary total catecholamine excretion or by epinephrine-norepinephri...
متن کاملDiagnostic value of various biochemical parameters for the diagnosis of pheochromocytoma in patients with adrenal mass.
OBJECTIVE Pheochromocytomas are neoplasms generally characterized by the autonomous production of catecholamines. This study compared various biochemical parameters for the diagnosis of adrenal pheochromocytoma in patients with adrenal mass. DESIGN One hundred and fifty subjects were studied, including 24 histologically proven pheochromocytomas, 17 aldosterone-secreting and 21 cortisol-secret...
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ورودعنوان ژورنال:
- The Gulf journal of oncology
دوره 1 18 شماره
صفحات -
تاریخ انتشار 2015