Emergency resection of phaeochromocytoma presenting with hyperamylasaemia and pulmonary oedema after abdominal trauma.

Anaesthesia
D J Greaves, P M Barrow

Abstract

Phaeochromocytoma may present as an acute emergency with a perplexing variety of symptoms. We report a case in which a tumour of the organ of Zuckerkandl was removed after its unexpected discovery during laparotomy for abdominal trauma. A patient is described in whom a history of abdominal trauma coupled with collapse, pulmonary oedema, raised serum amylase and a positive peritoneal tap for blood, led to laparotomy at which an extramedullary phaeochromocytoma was found unexpectedly. The tumour was successfully resected, but immediate hypotension was life threatening. The inadvisability of resecting a phaeochromocytoma discovered at operation is discussed.

References

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Citations

Aug 1, 1994·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·A L TonkinJ R Jonsson
Apr 27, 1999·The Journal of Trauma·M R MatthewsM V Canulla
Nov 28, 2006·Endocrinology and Metabolism Clinics of North America·Frederieke M BrouwersKarel Pacak
Sep 1, 1992·Annals of Emergency Medicine·T C Evans, R S Van Hare
May 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M E PetitjeanP Erny
Jun 27, 1998·Anaesthesia and Intensive Care·W J RussellD B Frewin
Nov 7, 2013·Annals of Clinical Biochemistry·Ma Crook

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