Prise en charge du phéochromocytome bilatéral - à propos d’un cas

Khattala, Khalid; Elmadi, Aziz; Mahmoudi, Abdelhalim; Raiss, Mohamed; Bouabdallah, Youssef

doi:10.11604/pamj.2014.18.97.1916

Cited by 1 publication

(1 citation statement)

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“…Preoperative medical preparation is aimed at reducing risks of peroperative hemodynamic instability [15,16]. Preoperative hypertension peaks up to 250 mmHg were reported [17,18]. Besides, it is the rise in blood pressure upon contact with the tumour that helped adjust our diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Ectopic pheochromocytoma or paraganglioma of the ZUCKERKANDL organ: A case report and review of the literature

Zongo

Koama

Kambou

et al. 2019

International Journal of Surgery Case Reports

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Highlights EPIDEMIOLOGY : paraganglioma of the ZUCKERKANDL organ is a rare neuroendocrine tumour but must be known. DIAGNOSIS : The typical presentation which is the Menard Triad of symptoms, associating headaches, sweating and palpitation. Preoperative diagnosis can be difficult in pauci-symptomatic cases. The Clinical signs, Abdominal-pelvic CT scan and biology are the steps of the preoperative diagnosis. TREATMENT : Treatment is surgical. Preoperative medical preparation is aimed at reducing risks of peroperative hemodynamic instability. The anesthetist should therefore prepare himself to manage blood pressure peaks during the tumour’s dissection, but also the possible low blood pressure at the end of exeresis. Surgery remains the key element of treatment and consists in exeresis of the paragaglioma. PROGNOSIS : paraganglioma of the ZUCKERKANDL organ is often a benign tumor. The resuscitation determines the patient’s prognosis.

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Section: Discussionmentioning

confidence: 99%