Abstract:
:A 54-year-old female presented with a large pancreatic tumor of the tail during a regular physical examination. The patient underwent surgical intervention and the surgeon identified that the tumor originated from the retroperitoneal region. Markedly severe hemodynamic fluctuations occurred during the manipulation of the tumor and continued to occur subsequent to the tumor being removed. The vital signs were adequately managed and the surgery was successful without complications. The patient was discharged without any sequelae days later. The pathology report indicated a diagnosis of pheochromocytoma. Unexpected pheochromocytoma may lead to a fatal hypertensive crisis with catastrophic sequelae during surgery. The peri-operative management of pheochromocytoma remains a complicated challenge that requires intensive pre-operative preparation and vigilant peri-operative care. For surgeons and anesthesiologists who may encounter an unexpected hypertensive crisis during abdominal tumor surgery, undiagnosed pheochromocytoma should always be considered.
journal_name
Oncol Lettjournal_title
Oncology lettersauthors
Huang YH,Liaw WJ,Kuo CP,Wu ZF,Cherng CH,Yu JC,Horng HC,Huang STdoi
10.3892/ol.2013.1447subject
Has Abstractpub_date
2013-09-01 00:00:00pages
833-834issue
3eissn
1792-1074issn
1792-1082pii
ol-06-03-0833journal_volume
6pub_type
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