[Severe hypoglycemia after resection of adrenal pheochromocytoma: a case report]

Hinyokika Kiyo. 2009 Mar;55(3):123-7.
[Article in Japanese]

Abstract

A 55-year-old female presented with subarachnoid hemorrhage and was admitted to the department of neurosurgery. Because she had severe hypertension, systemic evaluation was performed. Computed tomography showed a right adrenal tumor which was suspected to be a pheochromocytoma because catecholamine levels were very high in both serum and 24-hour urine. She did not awaken from anesthesia after laparoscopic adrenalectomy and laboratory tests showed that her blood sugar concentration was 33 mg/dl. This hypoglycemia was controlled by continuous infusion of a 50% glucose solution at 40 ml/h and she became conscious the next morning. We gradually decreased the amount of glucose infused and stopped the infusion on postoperative day 4. The tumor was pathologically diagnosed as a pheochromocytoma.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Adrenal Gland Neoplasms / surgery*
  • Female
  • Humans
  • Hypoglycemia / etiology*
  • Middle Aged
  • Pheochromocytoma / surgery*
  • Postoperative Complications