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Unexpected pheochromocytoma presenting as a pancreatic tumor: A case report

机译:意外的嗜铬细胞瘤表现为胰腺肿瘤:一例报告

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A 54-year-old female presented with a large pancreatic tumor of the tail during a regular physical examination. The patient underwent surgical intervention and the surgeon identified that the tumor originated from the retroperitoneal region. Markedly severe hemodynamic fluctuations occurred during the manipulation of the tumor and continued to occur subsequent to the tumor being removed. The vital signs were adequately managed and the surgery was successful without complications. The patient was discharged without any sequelae days later. The pathology report indicated a diagnosis of pheochromocytoma. Unexpected pheochromocytoma may lead to a fatal hypertensive crisis with catastrophic sequelae during surgery. The peri-operative management of pheochromocytoma remains a complicated challenge that requires intensive pre-operative preparation and vigilant peri-operative care. For surgeons and anesthesiologists who may encounter an unexpected hypertensive crisis during abdominal tumor surgery, undiagnosed pheochromocytoma should always be considered.
机译:一名54岁的女性在常规身体检查中出现了尾巴大胰腺癌。患者接受了手术干预,外科医生确定肿瘤起源于腹膜后区域。在操纵肿瘤的过程中发生了明显的严重的血流动力学波动,并在切除肿瘤后继续发生。生命体征得到适当管理,手术成功无并发症。患者出院后无任何后遗症。病理报告表明诊断为嗜铬细胞瘤。意外的嗜铬细胞瘤可能会导致致命的高血压危机,并在手术过程中造成灾难性的后遗症。嗜铬细胞瘤的围手术期管理仍然是一项复杂的挑战,需要进行强化的术前准备和警惕的围手术期护理。对于可能在腹部肿瘤手术中遇到意外高血压危机的外科医生和麻醉师,应始终考虑未诊断的嗜铬细胞瘤。

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