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Intestinal ischaemia associated with phaeochromocytoma

Intestinal ischaemia associated with phaeochromocytoma
Intestinal ischaemia associated with phaeochromocytoma
The present case report describes a patient with an adrenal phaeochromocytoma who presented with infarction of the small intestine. The clinical features, diagnosis and treatment of this case are described. Despite excision of the tumour and necrotic intestine, this patient died in the postoperative period from overwhelming sepsis and multi-organ failure. Special reference is made to the delayed effects of established intestinal ischaemia on immune function and it is suggested that this was major contributory factor to the fatal outcome in the present case. The onset of gastro-intestinal symptoms in patients with phaeochromocytoma should suggest the possibility of imminent gut ischaemia and indicate the necessity for prompt excision of the tumour.
0032-5473
594-596
Carr, N.D.
25b860ca-6e29-44b1-9322-044347e4234a
Hulme, A.
a6034bad-bbd1-4bca-a943-bce7cb47774a
Sheron, N.
cbf852e3-cfaa-43b2-ab99-a954d96069f1
Lees, W.R.
372ce19a-1de8-4efa-b09e-88b62e351fbb
Russell, RC.
b28f9563-1a38-4b83-ae28-2790657008a3
Carr, N.D.
25b860ca-6e29-44b1-9322-044347e4234a
Hulme, A.
a6034bad-bbd1-4bca-a943-bce7cb47774a
Sheron, N.
cbf852e3-cfaa-43b2-ab99-a954d96069f1
Lees, W.R.
372ce19a-1de8-4efa-b09e-88b62e351fbb
Russell, RC.
b28f9563-1a38-4b83-ae28-2790657008a3

Carr, N.D., Hulme, A., Sheron, N., Lees, W.R. and Russell, RC. (1989) Intestinal ischaemia associated with phaeochromocytoma. Postgraduate Medical Journal, 65 (766), 594-596. (doi:10.1136/pgmj.65.766.594). (PMID:2602262)

Record type: Article

Abstract

The present case report describes a patient with an adrenal phaeochromocytoma who presented with infarction of the small intestine. The clinical features, diagnosis and treatment of this case are described. Despite excision of the tumour and necrotic intestine, this patient died in the postoperative period from overwhelming sepsis and multi-organ failure. Special reference is made to the delayed effects of established intestinal ischaemia on immune function and it is suggested that this was major contributory factor to the fatal outcome in the present case. The onset of gastro-intestinal symptoms in patients with phaeochromocytoma should suggest the possibility of imminent gut ischaemia and indicate the necessity for prompt excision of the tumour.

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Published date: August 1989

Identifiers

Local EPrints ID: 172313
URI: http://eprints.soton.ac.uk/id/eprint/172313
ISSN: 0032-5473
PURE UUID: c5deb4ce-be86-4462-a17d-71827d000478
ORCID for N. Sheron: ORCID iD orcid.org/0000-0001-5232-8292

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Date deposited: 25 Jan 2011 12:37
Last modified: 14 Mar 2024 02:28

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Contributors

Author: N.D. Carr
Author: A. Hulme
Author: N. Sheron ORCID iD
Author: W.R. Lees
Author: RC. Russell

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