title: Catastrophic hemorrhage of adrenal pheochromocytoma following thrombolysis for acute myocardial infarction: case report and literature review.
abstract: We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhagic shock following successful thrombolysis for acute cardiac infarction. Emergency surgical exploration revealed extensive intraperitoneal and retroperitoneal hemorrhage resulting from the rupture of a large adrenal tumor. The diagnosis of pheochromocytoma was confirmed by histological findings. The patient died a few hours after surgery from multiorgan failure despite resuscitation attempts. This report discusses the diagnosis difficulties, treatment approach, and relevant literature.
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of surgery, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Tarik
authors.initials: T
authors.lastname: Souiki
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of anesthesiology, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Zoheir
authors.initials: Z
authors.lastname: Tekni
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of Cardiology, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Hind
authors.initials: H
authors.lastname: Laachach
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of pathology, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Amal
authors.initials: A
authors.lastname: Bennani
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of surgery, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Youssef
authors.initials: Y
authors.lastname: Zrihni
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of endocrinology, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Azeddine
authors.initials: A
authors.lastname: Tadmori
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of endocrinology, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Farida
authors.initials: F
authors.lastname: Ajdi
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of anesthesiology, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Abderahim
authors.initials: A
authors.lastname: Bouazzaoui
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of pathology, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Laila
authors.initials: L
authors.lastname: Chbani
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of Cardiology, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Hafid
authors.initials: H
authors.lastname: Akoudad
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of surgery, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Khalid
authors.initials: K
authors.lastname: Mazaz
authors.affiliation: School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of surgery, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco.
authors.forename: Said
authors.initials: S
authors.lastname: Aitlaalim
keywords: Hemorrhage; Pheochromocytoma; Thrombolysis