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 journalArticle

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

Fingerprint

Pheochromocytoma
Hypoglycemia
Glucose
Glandular and Epithelial Neoplasms
Adrenalectomy
Neurosurgery
Subarachnoid Hemorrhage
Catecholamines
Blood Glucose
Anesthesia
Tomography
Urine
Hypertension
Serum
Neoplasms

Keywords

  • Coma
  • Hypoglycemia
  • Pheochromocytoma

ASJC Scopus subject areas

  • Urology

Cite this

Umeda, S., Ito, K., Tsujita, Y., Mikami, H., Tsuzuki, S., Miyajima, A., ... Asano, T. (2009). Severe hypoglycemia after resection of adrenal pheochromocytoma: A case report. Acta Urologica Japonica, 55(3), 123-127.

Severe hypoglycemia after resection of adrenal pheochromocytoma : A case report. / Umeda, Shun; Ito, Keiichi; Tsujita, Yujiro; Mikami, Hiroshi; Tsuzuki, Shinsuke; Miyajima, Akira; Hayakawa, Masamichi; Asano, Tomohiko.

In: Acta Urologica Japonica, Vol. 55, No. 3, 03.2009, p. 123-127.

Research output: Contribution to journalArticle

Umeda, S, Ito, K, Tsujita, Y, Mikami, H, Tsuzuki, S, Miyajima, A, Hayakawa, M & Asano, T 2009, 'Severe hypoglycemia after resection of adrenal pheochromocytoma: A case report', Acta Urologica Japonica, vol. 55, no. 3, pp. 123-127.
Umeda S, Ito K, Tsujita Y, Mikami H, Tsuzuki S, Miyajima A et al. Severe hypoglycemia after resection of adrenal pheochromocytoma: A case report. Acta Urologica Japonica. 2009 Mar;55(3):123-127.
Umeda, Shun ; Ito, Keiichi ; Tsujita, Yujiro ; Mikami, Hiroshi ; Tsuzuki, Shinsuke ; Miyajima, Akira ; Hayakawa, Masamichi ; Asano, Tomohiko. / Severe hypoglycemia after resection of adrenal pheochromocytoma : A case report. In: Acta Urologica Japonica. 2009 ; Vol. 55, No. 3. pp. 123-127.
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