| Autor: |
Hu, J.Y., Wang, C., Wang, H.B., Chen, P.X., Zhen, Z.J., Lau, W.Y. |
| Zdroj: |
International Journal of Surgery Case Reports; 2019, Vol. 56, p59-62, 4p |
| Abstrakt: |
Highlights • A huge pheochromocytoma measuring 16 cm × 15 cm × 10 cm is rare. • Despite adequate preoperative and intraoperative management, the patient developed severe hypertension followed by a hypotension crisis which were almost lethal. • Through multidisciplinary management with appropriate resuscitative measures, the huge tumor was resected en bloc with a R0 resection. • The patient recovered well postoperatively and was free of hypertension. Abstract Introduction We present a patient with a huge pheochromocytoma who ran a stormy intraoperative course. Presentation of case A 57-year-old woman underwent elective open surgery for a giant pheochromocytoma (16 × 15 × 10 cm) after adequate preoperative medical preparation. The patient developed severe hypertension on tumor mobilization followed bylife-threatening hypotensionwhen the tumor was removed. The hemodynamic instability was successfully managed. Histology showed a pheochromocytomawith tumor-free resection margins. The patient fully recoveredandthe hypertension completely resolved after the operation. Discussion This is a rare and educational case report on a patient with a huge pheochromocytoma who was successfully managed by a multidisciplinary team of specialists. Conclusion Pheochromocytoma should be resected if technically possible. A multidisciplinary team approach is required for proper management. [ABSTRACT FROM AUTHOR] |
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