Phaeochromocytoma Crisis: Two Cases of Undiagnosed Phaeochromocytoma Presenting after Elective Nonrelated Surgical Procedures | Zendy

Philip C Johnston | Zendy; Jonathan A. Silversides | Zendy; Helen Wallace | Zendy; P. Farling | Zendy; Anne P. Hutchinson | Zendy; Steven Hunter | Zendy; Fiona Eatock | Zendy; Karen Mullan | Zendy

Open Access

Phaeochromocytoma Crisis: Two Cases of Undiagnosed Phaeochromocytoma Presenting after Elective Nonrelated Surgical Procedures

Author(s) -

Philip C Johnston,

Jonathan A. Silversides,

Helen Wallace,

P. Farling,

Anne P. Hutchinson,

Steven Hunter,

Fiona Eatock,

Karen Mullan

Publication year - 2013

Publication title -

case reports in anesthesiology

Language(s) - English

Resource type - Journals

eISSN - 2090-6390

pISSN - 2090-6382

DOI - 10.1155/2013/514714

Subject(s) - medicine , asymptomatic , pheochromocytoma , cardiogenic shock , adrenalectomy , hypertensive crisis , shock (circulatory) , elective surgery , general surgery , surgery , blood pressure , myocardial infarction

Phaeochromocytoma is a catecholamine producing tumour and an uncommon cause of hypertension. We present two cases of relatively asymptomatic individuals, in which previously undiagnosed phaeochromocytoma was unmasked by elective nonadrenal surgical procedures, manifesting as postoperative hypertensive crisis and subsequent cardiogenic shock. The initial management in intensive care is discussed, in addition to the clinical and biochemical diagnostic challenges present. Successful adrenalectomy was performed in each case.

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