Journal of Emergencies, Trauma, and Shock
Home About us Editors Ahead of Print Current Issue Archives Search Instructions Subscribe Advertise Login 
Users online:551   Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size   
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

Correspondence Address:
Mohammad Shahnawaz Moazzam
Department of Anaesthesiology & Critical Care, Faculty of Medicine, J.N. Medical College, AMU, Aligarh, U.P.-202 002
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Read associated Retraction Notice: Retraction Notice with this article

DOI: 10.4103/0974-2700.66549

Rights and Permissions

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.


[FULL TEXT] [PDF Not available]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3044    
    Printed163    
    Emailed1    
    PDF Downloaded33    
    Comments [Add]    
    Cited by others 3    

Recommend this journal