title: [Urgent laparoscopic adrenalectomy in acute crisis caused by pheochromocytoma].
abstract: METHODS
  Authors present the case of a 30-year-old female patient, who was admitted to the ICU because of hypertensive crisis accompanied by chest complains, cardiac decompensation, progrediating short of breath and unconsciousness. Despite the quick examinations and the prompt treatment multi-organ failure developed 3 days after admission. Investigations revealed the underlying cause, which was a left-sided suprarenal neoplasm. Hence, multidisciplinary decision was made to carry out a laparoscopic adrenalectomy urgently. The histology examination of the removed neoplasm was pheochromocytoma. In the postoperative period the condition of the patient gradually improved, her symptoms and complains settled, and finally she was discharged in a healthy condition.
  
  
  CONCLUSIONS
  The diagnosis of a pheochromocytoma is a difficult task, the symptoms and complains caused by it can simulate many other illnesses. The acute crisis caused by pheochromocytoma usually can be treated conservatively, but in more severe cases with impending multi-organ failure an urgent operative treatment can be unavoidable. Though the operative risk is relatively high, the correct intra- and postoperative treatment with a quick laparoscopic procedure can be effective.
authors.affiliation: Semmelweis Egyetem II. Sz. Sebészeti Klinika 1125 Budapest Kútvölgyi út 4.
authors.forename: Bíborka
authors.initials: B
authors.lastname: Bereczky
authors.affiliation: Semmelweis Egyetem Aneszteziológiai és Intenzív Terápiás Klinika Budapest.
authors.forename: Krisztina
authors.initials: K
authors.lastname: Madách
authors.affiliation: Semmelweis Egyetem Aneszteziológiai és Intenzív Terápiás Klinika Budapest.
authors.forename: János
authors.initials: J
authors.lastname: Gál
authors.affiliation: Semmelweis Egyetem II. Sz. Sebészeti Klinika 1125 Budapest Kútvölgyi út 4.
authors.forename: Gábor
authors.initials: G
authors.lastname: István
authors.affiliation: Semmelweis Egyetem II. Sz. Sebészeti Klinika 1125 Budapest Kútvölgyi út 4.
authors.forename: István
authors.initials: I
authors.lastname: Sugár
authors.affiliation: Semmelweis Egyetem II. Sz. Sebészeti Klinika 1125 Budapest Kútvölgyi út 4.
authors.forename: Pál
authors.initials: P
authors.lastname: Ondrejka
authors.affiliation: Semmelweis Egyetem II. Sz. Sebészeti Klinika 1125 Budapest Kútvölgyi út 4.
authors.forename: Attila
authors.initials: A
authors.lastname: Vörös
mesh_terms: D000208:Acute Disease; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000209:etiology; D033183:Interdisciplinary Communication; D010535:Laparoscopy; D010673:Pheochromocytoma / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D014474:Unconsciousness / Q000209:etiology
keywords: crisis caused by pheochromocytoma; phaeochromocytoma; phaeochromocytomás krízis; pheochromocytoma; urgens laparoscopos adrenalectomia; urgent laparoscopic adrenalectomy