Adrenal hemorrhage in a patient with pheochromocytoma manifested under the mask of acute surgical pathology

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Abstract. Spontaneous adrenal hemorrhage is a rare, potentially life-threatening condition. The most common cause of its arising (almost 50% of cases) is pheochromocytoma, which worsens the negative prognosis due to the high probability of developing a catecholamine crisis. In current clinical case, the presence of abdominal pain with hemodynamic shock in an elderly female patient, as well as a history of malignant arterial hypertension with a specific crisis course, gave a cause for concern of pheochromocytoma with hemorrhage in the adrenal gland. Emergency surgery in this case is associated with a higher risk of fatal complications. The main goal of preoperative preparation of such kind of patients is to normalize blood pressure, heart rate, restore the effective volume of circulating blood, and prevent catecholamine crisis intraoperatively. Prolonged α-adrenergic receptors blockade improves the course of perioperative period and the prognosis in the whole.

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Yulia Katushkina

Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1; Kuban State Medical University of the Ministry of Healthcare of Russia

编辑信件的主要联系方式.
Email: ukadoc@gmail.com
ORCID iD: 0009-0009-7334-9928

MD, endocrinologist

俄罗斯联邦, Krasnodar; Krasnodar

Zoya Tatarintseva

Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1; Kuban State Medical University of the Ministry of Healthcare of Russia

Email: z.tatarintseva@list.ru
ORCID iD: 0000-0002-3868-8061

MD, PhD (Medicine)

俄罗斯联邦, Krasnodar; Krasnodar

Darya Flore

Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1

Email: dasha.flore@mail.ru

MD, general practitioner

俄罗斯联邦, Krasnodar

Elena Kosmacheva

Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1; Kuban State Medical University of the Ministry of Healthcare of Russia

Email: kosmachova_h@mail.ru
ORCID iD: 0000-0001-5690-2482

MD, Dr. Sci. (Medicine), professor

俄罗斯联邦, Krasnodar; Krasnodar

Kirill Barbukhatti

Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1; Kuban State Medical University of the Ministry of Healthcare of Russia

Email: barbuhatty_k@mail.ru
ORCID iD: 0000-0001-6403-3299

MD, Dr. Sci. (Medicine), professor

俄罗斯联邦, Krasnodar; Krasnodar

参考

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