Severe hypoglycemia after resection of adrenal pheochromocytoma: A case report

Shun Umeda, Keiichi Ito, Yujiro Tsujita, Hiroshi Mikami, Shinsuke Tsuzuki, Akira Miyajima, Masamichi Hayakawa, Tomohiko Asano

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)123-127
Number of pages5
JournalActa Urologica Japonica
Volume55
Issue number3
Publication statusPublished - 2009 Mar 1

Keywords

  • Coma
  • Hypoglycemia
  • Pheochromocytoma

ASJC Scopus subject areas

  • Urology

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