Phaeochromocytoma of the urinary bladder.

Abstract

tumour itself measured 3.8 by 3.7 by 3.4 cm. The peritoneum overlying the growth was removed both in order to minimize handling and to make certain of complete excision of the tumour. Several enlarged lymph nodes were seen in the region of the internal iliac arteries, and two of these were removed for section. No masses could be felt in the para-aortic and adrenal regions. At the start of the operation the blood-pressure rose to 200/110 and remained at this level until the final clamp was placed, when it fell abruptly to 70 mm. Hg systolic. Neither phentolamine nor noradrenaline was required, and the blood-pressure rose steadily during the next hour to 130/90, at which level it remained for the duration of his stay in hospital (Fig.