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Sudden Death from an Non-diagnosed Paraganglioma after Surgery: A Case Report / 대한법의학회지
Article de Ko | WPRIM | ID: wpr-224683
Bibliothèque responsable: WPRO
ABSTRACT
Extra-adrenal paragangliomas and pheochromocytomas are rare but clinically important tumors, which produce, store, release, and metabolize catecholamines resulting in unexpected life-threatening effects. It is neither easy nor difficult to clinically diagnose these tumors despite the availability modern clinical methods because signs and symptoms such as recurrent episodes of paroxysmal hypertension and headache are nonspecific. Only a few cases of unexpected death in which the deceased had a non-diagnosed paraganglioma or pheochromocytoma have been reported. Death in these cases is usually sudden and occurs during emergency room care or during a major or minor abdominal operation, without prodromal symptoms. Death is considered to occur because of paroxysmal hypertension, cerebrovascular attacks, abrupt hemorrhage into the tumor parenchyma, or acute left ventricular failure. We report the case of a 73-year-old man who died 12 hours after undergoing decompression surgery for spinal stenosis. A medico-legal autopsy revealed that death in this case resulted from an undiagnosed paraganglioma around the abdominal aorta.
Sujet(s)
Mots clés
Texte intégral: 1 Indice: WPRIM Sujet Principal: Aorte abdominale / Paragangliome / Phéochromocytome / Sténose du canal vertébral / Autopsie / Catécholamines / Paragangliome extrasurrénalien / Mort subite / Décompression / Urgences Type d'étude: Diagnostic_studies Limites du sujet: Aged / Humans langue: Ko Texte intégral: Korean Journal of Legal Medicine Année: 2012 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Aorte abdominale / Paragangliome / Phéochromocytome / Sténose du canal vertébral / Autopsie / Catécholamines / Paragangliome extrasurrénalien / Mort subite / Décompression / Urgences Type d'étude: Diagnostic_studies Limites du sujet: Aged / Humans langue: Ko Texte intégral: Korean Journal of Legal Medicine Année: 2012 Type: Article