Goel Richa, Srinivasan Siddharth, Khadatkar Aniket, Banerjee J K
Resident (General Surgery), Bharati Hospital and Research Centre, Pune 411043, India.
Assistant Professor (General Surgery), Bharati Hospital and Research Centre, Pune 411043, India.
Med J Armed Forces India. 2022 Sep;78(Suppl 1):S323-S325. doi: 10.1016/j.mjafi.2020.03.018. Epub 2020 Jul 9.
Pheochromocytoma, is a rare neuroendocrine tumor, which usually presents as hypertension. We report a young male patient, who presented with intracerebral hemorrhage and intractable hypertension. On further evaluation, for uncontrolled secondary hypertension, he was diagnosed to have right adrenal pheochromocytoma. After hemodynamic stabilization, laparoscopic adrenelectomy was performed. Pheochromocytoma crisis presenting as intracerebral hemorrhage and cardiomyopathy is an uncommon phenomena. Even though it is a crisis, it is not a surgical emergency. Proper preoperative hemodynamic stabilization is essential before surgery is performed. An experienced anesthetist, to manage intraoperative fallacies, is warranted. Postoperatively, they must be on lifelong follow-up to watch for recurrence.
嗜铬细胞瘤是一种罕见的神经内分泌肿瘤，通常表现为高血压。我们报告一名年轻男性患者，他出现脑出血和顽固性高血压。经过进一步评估，针对无法控制的继发性高血压，他被诊断为右侧肾上腺嗜铬细胞瘤。在血流动力学稳定后，进行了腹腔镜肾上腺切除术。以脑出血和心肌病为表现的嗜铬细胞瘤危象是一种罕见现象。尽管这是一种危象，但并非手术急症。在进行手术前，适当的术前血流动力学稳定至关重要。需要有经验的麻醉师来处理术中的各种情况。术后，他们必须进行终身随访以观察是否复发。
