BERNADINE Z. PAULSHOCK, M.D.; EDGAR R. MILLER, M.D., F.A.C.P.
Because of prolonged life span an increasing number of elderly patients with hypertension is being subjected to various types of surgical procedures. It is therefore important to remember that lethal hypertensive crises from unsuspected pheochromocytomas may be precipitated by the trauma of anesthesia and surgery.
In a recent review of the literature by Apgar and Papper,1 it was disclosed that the operative mortality in patients on whom surgery was performed without prior knowledge of the presence of pheochromocytoma was 50%. Fifteen of the 16 patients who died did so within two to 48 hours postoperatively, in irreversible circulatory collapse. A
PAULSHOCK BZ, MILLER ER. UNSUSPECTED PHEOCHROMOCYTOMA RESULTING IN POSTOPERATIVE DEATH1. Ann Intern Med. ;44:573–575. doi: 10.7326/0003-4819-44-3-573
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Published: Ann Intern Med. 1956;44(3):573-575.
Adrenal Disorders, Endocrine and Metabolism, Endocrine Cancer, Hematology/Oncology.
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