Fatal complication after transsphenoidal surgery of pituitary adenoma: case report

Jornal Brasileiro de Patologia e Medicina Laboratorial

Conceição Aparecida Dornelas¹  Tereza N. A. G. Nogueira¹  Evandro T. Alves¹  River A. B. Coêlho¹ 

关键词: acromegaly;    cardiogenic shock;    septic shock;    pituitary neoplasia;    acromegalia;    choque cardiogênico;    choque séptico;    neoplasia de pituitária;   

DOI  :  10.5935/1676-2444.20150031

来源: SciELO

【 摘 要 】

ABSTRACT The objective of this study was to report a rare fatal complication in the postoperative period of transsphenoidal surgery of the pituitary gland (adenoma), with a brief review of the subject. The patient was a 54-year-old white man with acromegaly and severe heart failure, who after microsurgery developed blood pressure instability within 32 hours after the procedure and died. The autopsy revealed: hypertrophy and ventricular dilation with myocarditis, pericarditis and myocardial fibrosis; mesenteric ischemia with transmural coagulation necrosis of the intestinal loops; acute tubular necrosis; and hepatic steatosis. The findings are consistent with cardiogenic shock and abdominal sepsis due to necrosis of the intestinal loops.

【 授权许可】

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