[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.66.254. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Other Articles
June 2, 1962

Pheochromocytoma: Shock Following Resection-Reply

Author Affiliations

2500 N. State St., Jackson 6, Miss.

JAMA. 1962;180(9):793. doi:10.1001/jama.1962.03050220085019

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor:—  While Dr. Robbins believes that the hypotension which follows resection of a pheochromocytoma may well be due to adrenocortical insufficiency, other correspondents have stressed with equal vigor the possibility of hypovolemia. Of course, upon occasion either of these conditions might exist.Nevertheless, one feels that certain evidence should be cited to support our original hypothesis, namely, that a relative but temporary catechol amine insufficiency is a major factor in permitting the postresectional hypotension observed in many cases. First, we (Ann Surg150:679, 1959) and others (Hume, Amer J Surg99:458, 1960) have published urinary corticoid values in patients before and following resection of pheochromocytomas. In most instances the values have been within normal limits. Second, the hypotension in the case reported occurred immediately after the venous drainage from the paraganglioma had been clamped, too soon to represent development of the metabolic state of adrenocortical insufficiency;

First Page Preview View Large
First page PDF preview
First page PDF preview
×