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CASE REPORT
Year : 2014  |  Volume : 3  |  Issue : 1  |  Page : 130-132

Post-operative refractory hypotension and diuresis in a case of bilateral pheochromocytoma


1 Department of Medicine, College of Medicine and JNM Hospital, Kalyani, Nadia, India
2 Department of Anaesthesiology, R.G. Kar Medical College, Kolkata, West Bengal, India
3 Department of Surgery, R.G. Kar Medical College, Kolkata, West Bengal, India

Correspondence Address:
Somak Kumar Das
A/14, 2nd Floor, Katjunagar, Jadavpur, Kolkata - 700 032, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-0513.125823

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Pheochromocytomas are relatively uncommon tumors, with prevalence of 0.3-0.95% in autopsy series. Patients with pheochromocytomas have a potentially curable cause of hypertension. Following surgical removal of pheochromocytoma 80% of patients are expected to become normotensive. Persistent post-operative hypertension may be due to residual tumor, metastatic disease or intra-operative injury to the renal artery or the kidney. Around 20% of patients will remain hypertensive without biochemical evidence of residual tumor; however, due to associated essential hypertension or due to acquired renovascular changes. We present a rare case of refractory hypotension in a post-operative case of bilateral pheochromocytoma.


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