Journal of Emergencies, Trauma, and Shock
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CASE REPORT  
Year : 2010  |  Volume : 3  |  Issue : 3  |  Page : 300
Traumatic haemorrhage of occult phaeochromocytoma in a patient with septic shock


Department of Anaesthesiology & Critical Care, Faculty of Medicine, J.N. Medical College, AMU, Aligarh, U.P.-202 002, India

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Date of Submission23-Jun-2009
Date of Acceptance02-Jan-2010
Date of Web Publication19-Jul-2010
 

   Abstract 

Phaeochromocytoma can have a variety of presentations; however, traumatic haemorrhage into a phaeochromocytoma is a very rare presentation. Diagnosing and managing a critically ill, septic patient with a Phaeochromocytoma can be very challenging. We report a case of 53 years old man with a previously undiagnosed Phaeochromocytoma, who presented initially with bowel perforation following an assault. Following a laparotomy for bowel resection and anastomosis, whilst on the intensive care unit, he developed paroxysmal severe hypertension overlying septic shock. Phaeochromocytoma was confirmed using a computed tomography scan and urinary assay of metanephrine and catecholamines. We managed the haemodynamic instability using labetalol and noradrenaline infusions. As his septic state improved he was convention therapy and following control of his symptoms over the next few weeks, he underwent an uncomplicated right sided adrenalectomy. He made a full recovery.

Keywords: Phaeochromocytoma, sepsis, traumatic haemorrhage

How to cite this article:
Moazzam MS, Ahmed SM, Bano S. Traumatic haemorrhage of occult phaeochromocytoma in a patient with septic shock. J Emerg Trauma Shock 2010;3:300

How to cite this URL:
Moazzam MS, Ahmed SM, Bano S. Traumatic haemorrhage of occult phaeochromocytoma in a patient with septic shock. J Emerg Trauma Shock [serial online] 2010 [cited 2019 Nov 18];3:300. Available from: http://www.onlinejets.org/text.asp?2010/3/3/300/66549


RETRACTION NOTICE

The following article was found to be plagiarised and hence considered retracted.



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Correspondence Address:
Mohammad Shahnawaz Moazzam
Department of Anaesthesiology & Critical Care, Faculty of Medicine, J.N. Medical College, AMU, Aligarh, U.P.-202 002
India
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Source of Support: None, Conflict of Interest: None


Read associated Retraction Notice: Retraction Notice with this article

DOI: 10.4103/0974-2700.66549

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3 Traumatic haemorrhage of occult phaeochromocytoma in a patient with septic shock
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