[Postoperative hypoglycemia after excision of pheochromocytoma. A case]. / Hypoglycémie postopératoire après ablation d'un phéochromocytome. Une observation.
Presse Med
; 17(10): 475-8, 1988 Mar 19.
Article
em Fr
| MEDLINE
| ID: mdl-2895462
ABSTRACT
A case of hypoglycaemia consecutive to excision of a bilateral phaeochromocytoma in a 33-year old patient with Sipple's syndrome is reported. The severity of the hypoglycaemia (1.3 mmol/l) accounted for the brain lesions which ultimately resulted in the patient's death. Eight cases of hypoglycaemia occurring in similar circumstances have been published. The condition is due to the massive release of insulin during the hours that follow removal of the tumour. This results in the persistence of the peri-operative hyperglycaemic stimulation and in the suppression of the previous inhibition of insulin secretion due to alpha-adrenergic stimulation of catecholamines in the beta-cells of Langerhans' islets.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Feocromocitoma
/
Complicações Pós-Operatórias
/
Neoplasia Endócrina Múltipla
/
Neoplasias das Glândulas Suprarrenais
/
Hipoglicemia
Limite:
Adult
/
Humans
/
Male
Idioma:
Fr
Ano de publicação:
1988
Tipo de documento:
Article