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- W2559978712 abstract "iFeokromositoma, cogunlukla adrenal bezden kaynak- lanan katekolamim salgilayan nadir bir noroendokrin tu- mordur. Daha onceden bilinmeyen veya tedavi edilmemis feokromositoma olgulari acil cerrahi durumlarda klinik zorluklara neden olmaktadir. Karin agrisi nedeniyle acil servise basvuran 24 yasindaki erkek hastanin yapilan fizik muayenesinde, laboratuvar ve radyolojik tetkikleri akut apandisit ile uyumluydu. Acil cerrahi planlanan has- tanin kan basinci 240/130 mmHg, nabiz sayisi 125/dakika idi. Intravenoz nitrat ve beta-blokorlerle vital bulgulari stabilize edilen hastaya apendektomi yapildi. Cerrahi sonrasi, hipertansiyon etiyolojisi arastirilan hastanin id- rarda vanil mandolik asit duzeyi yuksek ve ust batin MR'da sag adrenalde kitle saptandi. Apendektomiden 2 ay sonar, elektif olarak sag adrenalektomi yapildi. Posto- peratif patolojisi feokromositoma olarak saptanan hasta 18 aydir sorunsuz olarak takip edilmektedir. Anahtar sozcukler: Feokromositoma, cerrahi, acil Pheochoromocytoma is a rare catecholamine secreting neuroendocrine tumor originating mostly from adrenal glands. A clinical challenge arises when a patient with a previously undiagnosed and untreated pheochromocy- toma presents with a surgical emergency. A 24-years-old male presented to our emergency department with ab- dominal pain. Physical examination, laboratory tests and radiological findings were consistent with acute appen- dicitis. Prior surgery, his blood pressure raised to 240/130 mmHg, while heart rate was 125/min. Vital signs were stabilized by intravenous nitrates and beta blockers. Ap- pendectomy was done without further complications. After surgery, high level of urine vanillyl mandelic acid and right adrenal mass in abdominal MRI that support the diagnosis of pheochoromocytoma were found. Elec- tive right adrenalectomy was made two months later and pathology revealed a pheochoromocytoma. The posto- perative period was uneventful and he has been followed for 18 months without any antihypertensive treatment." @default.
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- W2559978712 date "2014-01-01" @default.
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- W2559978712 title "Undiagnosed pheochromocytoma in a patient with acute appendicitis: a challenging surgical emergency condition Akut Apandisitli bir hastada tanimlanmamiş feokromositoma: Zor acil cerrahi bir durum" @default.
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