title: [Severe hypoglycemia after resection of adrenal pheochromocytoma: a case report].
abstract: A 55-year-old female presented with subarachnoid hemorrhage and was admitted to the department of neurosurgery. Because she had severe hypertension, systemic evaluation was performed. Computed tomography showed a right adrenal tumor which was suspected to be a pheochromocytoma because catecholamine levels were very high in both serum and 24-hour urine. She did not awaken from anesthesia after laparoscopic adrenalectomy and laboratory tests showed that her blood sugar concentration was 33 mg/dl. This hypoglycemia was controlled by continuous infusion of a 50% glucose solution at 40 ml/h and she became conscious the next morning. We gradually decreased the amount of glucose infused and stopped the infusion on postoperative day 4. The tumor was pathologically diagnosed as a pheochromocytoma.
authors.affiliation: The Department of Urology, National Defense Medical College.
authors.forename: Shun
authors.initials: S
authors.lastname: Umeda
authors.forename: Keiichi
authors.initials: K
authors.lastname: Ito
authors.forename: Yujiro
authors.initials: Y
authors.lastname: Tsujita
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mikami
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Tsuzuki
authors.forename: Akira
authors.initials: A
authors.lastname: Miyajima
authors.forename: Masamichi
authors.initials: M
authors.lastname: Hayakawa
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Asano
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D008875:Middle Aged; D010673:Pheochromocytoma / Q000601:surgery*; D011183:Postoperative Complications