Severe hemodynamic instability during elective surgery for a patient with a giant pheochromocytoma: A case report.
International journal of surgery case reports(2019)
摘要
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.
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