Pheochromocytoma-induced cardiogenic shock requiring ECMO: cardiovascular recovery prior to surgical resection.

An otherwise healthy woman in her 30s presented with cardiogenic shock and acute pulmonary oedema (APO), subsequently requiring extracorporeal membrane oxygenation (ECMO). A CT scan revealed an adrenal mass that prompted the differential diagnosis of a pheochromocytoma crisis that was later further suggested by raised plasma metanephrines. In the absence of clear guidelines due to the clinical rarity, a decision was made to delay adrenalectomy and stabilise the patient from a cardiac perspective with the view to operate after improvement of cardiac function with adequate alpha and beta blockade.

Surgical excision of umbilical endometriosis in Australia.

Endometriosis is characterised by endometrial tissue outside the confines of the endometrium in the uterus. Whilst commonly occurring in regions such as the ovaries or fallopian tubes, it is exceedingly uncommon for endometriosis to appear in the umbilical region. This condition may produce a painful and aesthetically unfavourable presentation for sufferers, and can be amendable to surgical excision of the lesion.

secondary to oral breast trauma as a cause of recurrent breast abscess.

Actinomycosis is a rare chronic infection, caused by species of the bacterium spp. This report proposes oral breast trauma as a cause of infection. An adult female in her 30s presented with a recurrent left breast abscess to a local hospital.