[Postoperative intensive care of a patient with Cushing's syndrome accompanied with retroperitoneal abscess and massive subcutaneous emphysema].
A 60-year-old woman with Cushing's syndrome due to right adreno-cortical adenoma was referred to us because retroperitoneal abscess was found during surgical removal of the right adrenal gland. The diagnosis of Cushing's syndrome was made on the basis of elevated serum levels of cortisol. The abscess was accompanied with massive subcutaneous emphysema and pneumomediastinum. After operation the patient was admitted to ICU in the Medical Center for Emergency and Critical Care. PMX-DHP, continuous hemodiafiltration, and drainage were performed, and antibiotics were given. Nine days after the admission the patient recovered generally, and was transfferd to the Department of Urology. It was demonstrated that an opportunistic infection must be always considered in the condition like the present case.
Morooka
Takeshi
T
Medical Center for Emergency and Critical Care, Nara Prefectural Nara Hospital, Nara.
Oota
Tomoko
T
Kumatoriya
Tomoyuki
T
Fukui
Yoshihisa
Y
Samma
Shoji
S
Hashimoto
Toshio
T
D000038:Abscess / Q000209:etiology*; D000236:Adenoma / Q000150:complications / Q000601:surgery; D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000601:surgery; D003480:Cushing Syndrome / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D011182:Postoperative Care; D012187:Retroperitoneal Space; D013352:Subcutaneous Emphysema / Q000209:etiology*