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Case Reports in Anesthesiology
Volume 2013 (2013), Article ID 514714, 4 pages
http://dx.doi.org/10.1155/2013/514714
Case Report

Phaeochromocytoma Crisis: Two Cases of Undiagnosed Phaeochromocytoma Presenting after Elective Nonrelated Surgical Procedures

1Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, UK
2Regional Intensive Care Unit, Royal Victoria Hospital, Belfast, UK
3Department of Anaesthesia, Royal Victoria Hospital, Belfast, UK
4Department of Endocrine Surgery, Royal Victoria Hospital, Belfast, UK

Received 26 August 2013; Accepted 24 September 2013

Academic Editors: A. Apan and U. Buyukkocak

Copyright © 2013 P. C. Johnston et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Phaeochromocytoma is a catecholamine producing tumour and an uncommon cause of hypertension. We present two cases of relatively asymptomatic individuals, in which previously undiagnosed phaeochromocytoma was unmasked by elective nonadrenal surgical procedures, manifesting as postoperative hypertensive crisis and subsequent cardiogenic shock. The initial management in intensive care is discussed, in addition to the clinical and biochemical diagnostic challenges present. Successful adrenalectomy was performed in each case.