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- Title
Undiagnosed phaeochromocytoma in the perioperative period. Case reports.
- Authors
SELLEVOLD, O. F. M.; RÆDER, J.; STENSETH, R.; Sellevold, O F; Raeder, J
- Abstract
Phaeochromocytomas appear as frequently as one in 1000-2000 patients. Release of catecholamines may be triggered by events in the perioperative period. Patients whose phaeochromocytomas are diagnosed in this period, have a mortality of about 80%. Three patients with perioperative debut of symptoms of a phaeochromocytoma are presented. A possible drug-induced release of catecholamines from the tumour is suggested for two of the patients. The first symptoms of a phaeochromocytoma may be arrhythmias and shock, which favours the use of adrenergic blockade prior to elective removal of phaeochromocytomas. Therapeutic approaches to the treatment of catecholamine-induced heart failure may be potassium and magnesium supplements and possibly drugs reducing circulating angiotensin II activities. Caution is advised in the use of digitalis.
- Publication
Acta Anaesthesiologica Scandinavica, 1985, Vol 29, Issue 5, p474
- ISSN
0001-5172
- Publication type
journal article
- DOI
10.1111/j.1399-6576.1985.tb02236.x