Postoperative Polyurie nach laparoskopischer Adrenalektomie wegen Phäochromozytom

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.

Severe polyuria after the resection of adrenal pheochromocytoma

“…Severe polyuria after the resection of pheochromocytoma is an extremely rare event and only one case has previously been reported to date 1 . In that report, the maximum urine output after a laparoscopic adrenalectomy for pheochromocytoma was 15 L/day.…”

“…Severe polyuria after the resection of pheochromocytoma is an extremely rare event and only one case has previously been reported to date. 1 In that report, the maximum urine output after a laparoscopic adrenalectomy for pheochromocytoma was 15 L/day. The treatment included careful monitoring of vital signs and intravenous and oral supplementation of fluids and electrolytes.…”

“…Severe polyuria after adrenalectomy for pheochromocytoma is an extremely rare event and only one case has been reported to date 1 . Blietz et al .…”

“…Severe polyuria after adrenalectomy for pheochromocytoma is an extremely rare event and only one case has been reported to date. 1 Blietz et al reported a case of postoperative polyuria of up to 15 L/day after adrenal pheochromocytoma resection. Urine output of more than 5 L/day continued for 8 days postoperatively.…”