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Canadian Journal of Anesthesia, Vol 39, 495-498, Copyright © 1992 by Canadian Anesthesiologists' Society

ARTICLES

[Spontaneous splenic rupture disclosing a pheochromocytoma]

ME Petitjean, T Riant, E Tentiller, G Simonnet, G Janvier and P Erny
Service de reanimation traumatologique et post-chirurgicale, Pellegrin, Bordeaux, France.

Clinical manifestation of a phaeochromocytoma may range from no symptoms to an acute abdominal emergency. These abdominal emergencies are related to haemorrhagic necrosis of the tumour, or massive bleeding in the retroperitoneal space. The authors report a case of splenic rupture revealing a phaeochromocytoma. The mechanism of splenic rupture is discussed as is the conservative treatment of phaeochromocytoma during splenic surgery. The authors observed no correlation between plasma catecholamine concentration and blood pressure.




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Copyright © 1992 by the Canadian Anesthesiologists' Society.