Abstract：
INTRODUCTION:Tako-tsubo cardiomyopathy is a rapidly reversible form of acute heart failure triggered by stressful events that occur more frequently in postmenopausal women. A central role is supposed to be played by catecholamines and the association with pheocromocytoma is rare. CASE PRESENTATION:We describe a patient admitted for abdominal pain and suffering of hypertension pharmacologically treated. During hospitalization the patient presented cephalea and precordial pain with nausea and profuse sweating. ECG showed ST elevation and deep negative T wave. Blood tests were moderately elevated. Echo-cardiography reported a left ventricular apex akynesia and hyperkynesia of the base while coronarography was negative. As hypertension persisted the suspicion of pheocromocytoma arose. Urinary and blood catecholamines were mildly elevated and echography and Magnetic Resonance revealed a left adrenal gland mass. The diagnosis of pheocromocytoma was thus confirmed Left laparoscopic adrenalectomy was performed after adequate stabilization and preoperative pharmacological preparation by hydration, a-and f-blockers. Intraoperatively blood pressure was controlled by nitroprussiate, rapid half life beta-blockers (esmolol cloridrate). Post-operative course was uneventful and arterial pressure returned to normal as well as catecholamines values. Patient was discharged on the 5th post-operative day Five months afterwards the patient had normal arterial pressure without anti-hypertensive therapy and symptom free. CONCLUSION:The case confirmed that tako-tsubo cardiomyopathy could be the first manifestation of tumors secreting catecholamines and that pheocromocytoma should be considered in patients with hypertension and acute stress-induced cardiomiopathy without evidence of acute coronary disease and with negative coronarography.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Cesaretti M,Ansaldo G,Varaldo E,Assalino M,Trotta M,Torre G,Borgonovo Gsubject
Has Abstractpub_date
2010-11-01 00:00:00pages
439-43issue
6eissn
0003-469Xissn
2239-253Xjournal_volume
81pub_type
杂志文章abstract：BACKGROUND:JGCA Gastric Cancer Treatment Guidelines (2004) include Laparoscopic Assisted Distal Gastrectomy (LADG) within the chapter of modified surgery. A metanalysis published in 2010 shows that LADG is significantly superior to Open Distal Gastrectomy (ODG) if comparing short term outcomes. Oncologic results prove ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
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更新日期：2012-05-01 00:00:00
abstract：:We have studied the levels of the MEGX test in a heterogeneous group of 50 patients with chronic liver disease and with hepatic tumours and we have compared it with the routine LFTS commonly used to assess liver function and with the Child-Pugh Classification system. Our results demonstrate a statistically significant...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：AIM OF THE STUDY:To define the characteristics of Crohn's disease in the elderly, basing on our own and other Authors' experience. CASISTIC: During last 10 years, 46 patients affected by Crohn's disease were observed at Emergency Surgery Unit of "Vittorio Emanuele" Hospital in Catania (Italy). Of these patients, 4 (8,6...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
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abstract：:In spite of the decreasing incidence of gastric carcinoma, as it is reported in recent reports from the U.S.A., total gastrectomy and its surgical indications results and complications, focus the interest of surgeons. We analize 61 cases of total gastrectomy for carcinoma, treated in the years 1982-1992. Perioperative...
journal_title：Annali italiani di chirurgia
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更新日期：1995-11-01 00:00:00
abstract：:Bilateral retroperitoneal lymphadenectomy is usually indicated for non-seminomatous testis tumour at stage IIA and IIB. For seminoma is generally used radiotherapy, although some Authors prefer the surgical approach. Radical retroperitoneal lymphadenectomy must be bilateral, because metastatic cell can often spread to...
journal_title：Annali italiani di chirurgia
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abstract：AIM:Health-status of elderly patients with hepatocellular carcinoma (HCC) may limit surgical approach; other options are thus auspicable. METHODS:The authors reviewed 98 selected patients, aged 65 to 90 years, with 149 HCC treated between 2002 and 2011. According to the extent of malignancy, health status and treatmen...
journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：:Malignant ascites is an abnormal accumulation of fluid in the peritoneal cavity of patients with intraperitoneal cancer dissemination. This clinical condition could represent the terminal evolution of a lethal disease and could influence the prognosis, severely impairing the patients' quality of life. Treatment option...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
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doi：
更新日期：2011-09-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-09-18 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-09-01 00:00:00
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journal_title：Annali italiani di chirurgia
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更新日期：2011-05-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-03-28 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1998-09-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：:Multiple symmetric lipomatosis (MSL) is a rare condition of the fatty tissue affecting mostly white men between 20 and 65 years old especially in the mediterranean region. The disease is characterized by a massive development of large unencapsulated lipomas mainly located on the subcutaneous tissue of the cervical, de...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1999-03-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2013-09-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2004-11-01 00:00:00
abstract：:The diagnosis of incidental thyroid carcinoma in patients submitted to thyroidectomy for a benign disease is quite frequent. A retrospective analysis was performed on 240 patients submitted to surgical intervention in order to establish the incidence of the carcinoma. One hundred sixty five patients (68.75%) were affe...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2010-05-01 00:00:00
abstract：:Hepatocellular carcinoma (HCC) is one of the leading cancer in the world, susceptible to potentially curative liver resection (LR) in selected cases. Centrally located HCC (CL-HCC) are sited in central liver segments and may require complex LR because of their relationship to major vascular and biliary structures and ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2018-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1993-03-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
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journal_title：Annali italiani di chirurgia
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doi：
更新日期：2016-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-11-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-12-20 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2008-05-01 00:00:00
