Abstract
Disturbances of osmoregulation leading to polyuria are well known complications after operations in the sella region. In contrast, increased urinary output following adrenalectomy is rare. We report a case of postoperative polyuria after laparoscopic adrenalectomy for pheochromocytoma with urine output up to 15 l per day. Treatment included careful monitoring of the patient and intravenous and oral replacement of fluids and electrolytes. In our case a normalisation of the urine output was observed after few days. A further treatment with vasopressin was not undertaken as the osmolality at all times was in normal range.
Publication types
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Case Reports
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English Abstract
MeSH terms
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3-Iodobenzylguanidine
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Adrenal Gland Neoplasms / diagnosis
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Adrenal Gland Neoplasms / physiopathology
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Adrenal Gland Neoplasms / surgery*
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Adrenalectomy*
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Female
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Fluid Therapy
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Humans
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Iodine Radioisotopes
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Laparoscopy*
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Middle Aged
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Pheochromocytoma / diagnosis
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Pheochromocytoma / physiopathology
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Pheochromocytoma / surgery*
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Polyuria / etiology*
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Polyuria / physiopathology
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Postoperative Care
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Postoperative Complications / diagnosis
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Postoperative Complications / etiology*
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Postoperative Complications / physiopathology
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Potassium Chloride / administration & dosage
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Radionuclide Imaging
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Tomography, X-Ray Computed
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Water-Electrolyte Balance / physiology
Substances
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Iodine Radioisotopes
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3-Iodobenzylguanidine
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Potassium Chloride