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Multidisciplinary management of a large pheochromocytoma presenting with cardiogenic shock: A case report

BMC Urology Nov 28, 2019

Maestroni U, Ziglioli F, Baciarello M, et al. - In this case of a 38-year-old female candidate with a left-sided 11-cm adrenal mass seen in CT, verified as a pheochromocytoma via a meta-iodo-benzyl-guanidine scintigraphy, experts showed that rises in systemic vascular resistance lead to cardiogenic shock, and the size of the lesion indicated surgeons to veer off from their general strategy. Adrenalectomy and nephrectomy were performed successfully following prolonged hemodynamic stabilization. At almost 2 years from the primary event, the woman was observed to be free from disease. In summary, large, with open resection in the experienced hands, invasive pheochromocytoma could be safely and efficiently managed, given all attempts were made to accomplish hemodynamic stabilization and to reduce. Moreover, catecholamine release prior to and during surgery.
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